Cousins, Amy Rebecca
Cousins, Amy Rebecca is an sole proprietor health care provider with primary practice located at 149 Vestal Parkway West , Vestal NY 13850. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Cousins, Amy Rebecca can be contacted via phone (607) 785-4171.Contact Information
Primary practice address
149 Vestal Parkway West
Vestal NY 13850
Phone: (607) 785-4171
Fax: (607) 785-3915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 137439 | New York |
Profile Details
| NPI number | 1730272220 |
|---|---|
| LBN Legal business name | Cousins, Amy Rebecca |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730272220 | NPPES |
| New York | MEDICAID | 00891070 |
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