Provider Demographics
NPI:1386836542
Name:CURRAN, AMY KATHRYN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:KATHRYN
Last Name:CURRAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:KATHRYN
Other - Last Name:LIEBENOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 1554
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0988
Mailing Address - Country:US
Mailing Address - Phone:631-444-0650
Mailing Address - Fax:631-638-4170
Practice Address - Street 1:DEPARTMENT OF OB GYN
Practice Address - Street 2:STONY BROOK MEDICINE
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-8422
Practice Address - Fax:631-444-9854
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335317363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily