Individual
AMY CAROL ICE
Active
Individual
AMY CAROL ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
190624
NY
2084P0800X
Psychiatry Physician
Primary
219614
MA
Other
Enumeration date
03/24/2006
Last updated
02/09/2009
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