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General NPI Number Information
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NPI Number | 1639344682
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Entity Type | Individual
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Provider Name | AMY JANET YALE-LOEHR M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 301 HIGHGATE RD
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City | ITHACA
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State | NY
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Zip | 14850-1437
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Country | US
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Telephone | 607-257-4124
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Fax |
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Provider Business Mailing Address
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Address Line | 301 HIGHGATE RD
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City | ITHACA
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State | NY
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Zip | 14850-1437
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Country | US
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Telephone | 607-257-4124
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 181657-1
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License Number State | NY
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