Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 014241 | NY |
Y | 2251C2600X | Cardiopulmonary | 014241 | NY |
NPI | 1902185028 |
---|---|
Provider Name | Amy L Hess |
First Address | New Paltz, NY 12561-6405 |
Second Address | New Paltz, NY 12561-6405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2011 |
Last Update Date | 07/08/2011 |