| NPI | 1770079477 |
|---|---|
| Former Name | AMY LYNN CASAMENTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343105-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343105) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-06-30 |