Individual
AMBER LYN ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
10 N MAIN ST, CORTLAND, NY 13045-2130
(607) 753-0234
(607) 753-0286
Mailing address
10 N MAIN ST, CORTLAND, NY 13045-2130
(607) 753-0234
(607) 753-0286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336163963
—
NY
Enumeration date
11/26/2012
Last updated
11/05/2013
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