Amy C Stevens
Individual provider Active NPI Specialist · Central Valley, NY
NPI 1770923930 · NPPES record last updated Jul 2, 2013
Key facts
- NPI
- 1770923930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 272359208 (NY)
- Practice address
- 255 Route 32
Central Valley, NY 10917-3613 - Phone
- (845) 827-6227
- NPI assigned
- Jul 2, 2013
- 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 |
|---|---|---|---|
| 272359208 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 272359208 | NY | Yes |
Addresses
Primary practice location
255 Route 32
Central Valley, NY 10917-3613
Mailing address
556 Lakeside Rd
Newburgh, NY 12550-8949
Phone (845) 784-4560
Other providers in Central Valley, NY
- Kathleen Scully
- Kimberly Sgandurra
- Batsheva C. Sheinis
- Ada Smalls
- Jaclyn Soto
- Stick & Go Mobile Labs LLC
- Christine Elizabeth Taylor
- Lynne Telesca
- Glenese A Tulloch
- Rosemary Valdes
All providers in Central Valley, NY · Specialist 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 Jul 2, 2013. 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.