Amy Lynn Vath, PA-C

NPI #1093350548 in Northport, New York

Provider Information

NPI Number: 1093350548
Entity Type: Individual
Name: Amy Lynn Vath, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 7, 2019
Last Updated: Nov 7, 2019

Practice Location

Address: 46 WOODY LN
City: Northport
State: New York
ZIP Code: 11768-3255
Phone: (631) 617-8013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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