AMY MARIE FADER

WEST ISLIP, NY
NPI1508481250
Former NameAMY MARIE ZIEMS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-06-09
Last Update Date2021-06-01
Business Address
AMY MARIE FADER DO
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-4163
Mailing Address
AMY MARIE FADER DO
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-4163