MEDICARE: WILL HENRY ARMSTRONG

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
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	795510	NY

General Provider Information

NPI Number	:	1902738404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILL HENRY ARMSTRONG

Provider Business Mailing Address
First Line	:	423 JERUSALEM HILL RD
Second Line	:
City	:	ELMIRA
State	:	NY
Zip	:	14901-9587
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 JERUSALEM HILL RD
Second Line	:
City	:	ELMIRA
State	:	NY
Zip	:	14901-9587
Country	:	US
Telephone Number	:	607-483-0838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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