Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | F403431-01 | NY |
NPI | 1013590132 |
---|---|
Provider Name | Amy Mcelrath |
First Address | Albany, NY 12208-3301 |
Second Address | Albany, NY 12208-3301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2021 |
Last Update Date | 13/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
762824688 | NYS DMV (01) | NY |