Fiscoe, Amanda Beth

Fiscoe, Amanda Beth is an sole proprietor health care provider with primary practice located at 281 Wainwright Ave # 1 , Syracuse NY 13208-3155. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Fiscoe, Amanda Beth can be contacted via phone (315) 455-7857.

Contact Information

Primary practice address
281 Wainwright Ave # 1 Syracuse NY 13208-3155
Phone: (315) 455-7857
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 5440771 New York

Profile Details

NPI number 1932249448
LBN Legal business name Fiscoe, Amanda Beth
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932249448 NPPES
New York MEDICAID 02838599

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