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NPI Code Detail

MEDICARE: AMY M OVITT NP

MEDICARE:   AMY M OVITT  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner342825NY

General Provider Information

NPI Number : 1417459298
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY M OVITT NP
Provider Business Mailing Address
First Line : 407 ALBANY SHAKER RD
Second Line :
City : LOUDONVILLE
State : NY
Zip : 12211-1900
Country : US
Telephone Number : 518-435-1300
Fax Number :
Provider Business Practice Location Address
First Line : 407 ALBANY SHAKER RD
Second Line :
City : LOUDONVILLE
State : NY
Zip : 12211-1900
Country : US
Telephone Number : 518-435-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2018
Last Update Date : 02/21/2024

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