Healthcare Provider Details

I. General information

NPI: 1609437870
Provider Name (Legal Business Name): AMBER AUDITORE FNP-MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER NORAGONG FNP-MS

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 NORTH ST
GENEVA NY
14456-1651
US

IV. Provider business mailing address

111 CLARA BARTON ST
DANSVILLE NY
14437-9503
US

V. Phone/Fax

Practice location:
  • Phone: 315-787-4000
  • Fax:
Mailing address:
  • Phone: 585-335-6001
  • Fax: 585-335-9728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF344630
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number344630
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: