Russell, Amy Lynn
Russell, Amy Lynn is an individual health care provider with primary practice located at 4939 Brittonfield Pkwy Suite 101, East Syracuse NY 13057. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Russell, Amy Lynn can be contacted via phone (315) 463-1600.Contact Information
Primary practice address
4939 Brittonfield Pkwy Suite 101
East Syracuse NY 13057
Phone: (315) 463-1600
Fax: (315) 634-6789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 012926 | New York |
Profile Details
| NPI number | 1376788588 |
|---|---|
| LBN Legal business name | Russell, Amy Lynn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2008 |
| Last updated | Dec 3rd, 2008 - about 16 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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