Amy Ilardi, REGISTERED NURSE
Individual provider Active NPI EEG Specialist/Technologist · Phoenix, NY
NPI 1649020132 · NPPES record last updated Mar 31, 2025
Key facts
- NPI
- 1649020132
- Entity type
- Individual (NPI type 1)
- Primary specialty
- EEG Specialist/Technologist 246ZE0500X
- Practice address
- 86 State St
Phoenix, NY 13135-2273 - Phone
- (315) 529-3585
- NPI assigned
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 669715 | NY | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 669715 | NY | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 669715 | NY | |
| Health & Wellness Coach | 171400000X | |||
| EEG Specialist/Technologist | 246ZE0500X | NY | Yes |
Addresses
Primary practice location
86 State St
Phoenix, NY 13135-2273
Mailing address
86 State St
Phoenix, NY 13135-2273
Phone (315) 529-3585
Other providers in Phoenix, NY
- Karyn Marie Froio
- Caitlin Marie George
- Charlene Elizabeth Gill
- Nicole Gilona
- Peter D Gray
- Beth Jordan
- Paul G Lakomski
- Paul J Masuicca
- Ann Marie Milewski
- Erin Judith Moore
All providers in Phoenix, NY · EEG Specialist/Technologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.