Dvorscak, Amanda Jayne

Dvorscak, Amanda Jayne is an individual health care provider with primary practice located at 6 Wellness Way Ste 102 , Latham NY 12110-2156. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dvorscak, Amanda Jayne can be contacted via phone (518) 713-2099.

Contact Information

Primary practice address
6 Wellness Way Ste 102 Latham NY 12110-2156
Phone: (518) 713-2099
Fax: (518) 783-7506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 260494 New York

Profile Details

NPI number 1962663187
LBN Legal business name Dvorscak, Amanda Jayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Feb 8th, 2024 - about 9 months 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 1962663187 NPPES
New York MEDICAID 03353862

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