Provider Demographics
NPI:1588338966
Name:GARCIA, AMY Y
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:Y
Last Name:GARCIA
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 1:49 SHAWN DR
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-2736
Mailing Address - Country:US
Mailing Address - Phone:860-973-3702
Mailing Address - Fax:
Practice Address - Street 1:49 SHAWN DR
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-2736
Practice Address - Country:US
Practice Address - Phone:860-973-3702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker