Provider Demographics
NPI:1659009058
Name:UY, AMOR
Entity Type:Individual
Prefix:
First Name:AMOR
Middle Name:
Last Name:UY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMOR
Other - Middle Name:SARSABA
Other - Last Name:UY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN
Mailing Address - Street 1:1055 HAMBURG TPKE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3235
Mailing Address - Country:US
Mailing Address - Phone:973-646-8383
Mailing Address - Fax:
Practice Address - Street 1:1055 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-3235
Practice Address - Country:US
Practice Address - Phone:973-646-8383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01350200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily