Provider Demographics
NPI:1417901471
Name:BOEHME SILVER, AMY E (NP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:BOEHME SILVER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2907
Mailing Address - Country:US
Mailing Address - Phone:518-822-8484
Mailing Address - Fax:518-844-9335
Practice Address - Street 1:69 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2907
Practice Address - Country:US
Practice Address - Phone:518-822-8484
Practice Address - Fax:518-844-9335
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF430170363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00906094OtherRAILROAD MEDICARE
NY02776630Medicaid
NYP00906094OtherRAILROAD MEDICARE
NY02776630Medicaid
RB7686Medicare PIN