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NPI Code Detail

MEDICARE: AMY BUBB LP-MHC

MEDICARE:   AMY  BUBB  LP-MHC
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
1101YM0800XMental Health Counselor18-P125759-01NY

General Provider Information

NPI Number : 1992538177
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY BUBB LP-MHC
Provider Business Mailing Address
First Line : 1170 RIVERFRONT CTR
Second Line :
City : AMSTERDAM
State : NY
Zip : 12010-4600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1170 RIVERFRONT CTR
Second Line :
City : AMSTERDAM
State : NY
Zip : 12010-4600
Country : US
Telephone Number : 518-929-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2024
Last Update Date : 08/22/2024

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Directions to “ AMY BUBB LP-MHC” Practice Location

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