Individual
AMY INDOVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 NORTHERN BLVD, SHIRLEY, NY 11967-2320
(631) 655-2497
Mailing address
127 NORTHERN BLVD, SHIRLEY, NY 11967-2320
(631) 655-2497
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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