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1710465299
AMY NELLIE LANE
LATHAM, NY
NPI
1710465299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 343195)
Enumeration Date
2018-08-06
Last Update Date
2018-08-06
Business Address
AMY NELLIE LANE
8 CENTURY HILL DR
LATHAM, NY 12110-2193
Phone number: 518-783-7173
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Mailing Address
AMY NELLIE LANE
7 OVERLOOK DR
WYNANTSKILL, NY 12198-7458
Phone number: 845-518-4471
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