Secor, Amy Anne

Secor, Amy Anne is an individual health care provider with primary practice located at 17 E Genesee St Ste 101 , Auburn NY 13021-4112. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Secor, Amy Anne can be contacted via phone (315) 253-5151.

Contact Information

Primary practice address
17 E Genesee St Ste 101 Auburn NY 13021-4112
Phone: (315) 253-5151
Fax: (315) 253-0841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F3322911 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X F332291-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F332291-1 New York

Profile Details

NPI number 1629082425
LBN Legal business name Secor, Amy Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 19th, 2021 - about 3 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 1629082425 NPPES
New York MEDICAID 01877930

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