Bly, Amy E

Bly, Amy E is an sole proprietor health care provider with primary practice located at 84 Broad St , Glens Falls NY 12801-4381. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bly, Amy E can be contacted via phone (518) 793-9186.

Contact Information

Primary practice address
84 Broad St Glens Falls NY 12801-4381
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336494 New York

Profile Details

NPI number 1669781563
LBN Legal business name Bly, Amy E
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2010
Last updated Aug 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669781563 NPPES
New York MEDICAID 03274320

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