Individual
AMANDA BARTLESON-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
507 MAIN ST, JOHNSON CITY, NY 13790-1810
(607) 763-6075
(607) 763-5234
Mailing address
33 LEWIS RD, 2ND FL, BINGHAM, NY 13905
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344450
NY
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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