Individual
DR. JOEL P AMIDON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1102
(315) 507-5081
Mailing address
8293 TURIN RD, ROME, NY 13440-1913
(315) 335-0441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
174010
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01077605
—
NY
Enumeration date
11/17/2005
Last updated
04/03/2014
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