Hettrich, Amy L

Hettrich, Amy L is an individual health care provider with primary practice located at 848 Route 50 , Burnt Hills NY 12027. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Hettrich, Amy L can be contacted via phone (518) 831-1500.

Contact Information

Primary practice address
848 Route 50 Burnt Hills NY 12027
Phone: (518) 831-1500
Fax: (518) 377-1677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005898 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 005898 New York

Profile Details

NPI number 1063599652
LBN Legal business name Hettrich, Amy L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 16th, 2017 - about 7 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 1063599652 NPPES
New York MEDICAID 02554974

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