Healthcare Provider Details

I. General information

NPI: 1669356416
Provider Name (Legal Business Name): AMY HUNTINGTON RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 CAREY RD
QUEENSBURY NY
12804-7880
US

IV. Provider business mailing address

51 IRIS AVE
SOUTH GLENS FALLS NY
12803-5471
US

V. Phone/Fax

Practice location:
  • Phone: 518-824-8610
  • Fax:
Mailing address:
  • Phone: 518-223-5087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number027115-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: