Provider Demographics
NPI:1376538371
Name:NEY, AMY C (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:C
Last Name:NEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:222 S WOODS MILL RD
Mailing Address - Street 2:SUITE 710N
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3625
Mailing Address - Country:US
Mailing Address - Phone:314-576-1411
Mailing Address - Fax:314-576-2850
Practice Address - Street 1:222 S WOODS MILL RD
Practice Address - Street 2:SUITE 710N
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3625
Practice Address - Country:US
Practice Address - Phone:314-576-1411
Practice Address - Fax:314-576-2850
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOI33433Medicare UPIN