Provider Demographics
NPI:1619564341
Name:BYER, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2847 JANET AVE
Mailing Address - Street 2:
Mailing Address - City:N BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-2025
Mailing Address - Country:US
Mailing Address - Phone:516-238-2166
Mailing Address - Fax:
Practice Address - Street 1:2847 JANET AVE
Practice Address - Street 2:
Practice Address - City:N BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-2025
Practice Address - Country:US
Practice Address - Phone:516-238-2166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty