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Individual

AMY CAROL ICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
20 LEWIS AVENUE, GT BARRINGTON, MA 01230
(413) 528-1845
(413) 528-3667
Mailing address
20 LEWIS AVENUE, GT BARRINGTON, MA 01230
(413) 528-1845
(413) 528-3667

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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