National Provider Identifier
Amy Ruth Pencola
Amy Ruth Pencola is listed in the NPPES registry with a primary specialty of Contractor in Elmira Heights, NY and a listed phone number of (607) 734-5474.
Profile Overview
- NPI
- 1225749450
- Provider Type
- Individual
- Primary Specialty
- Contractor
- Enumeration Date
- December 08, 2022
- Last Updated
- December 08, 2022
Practice Location
- 122 W 14Th St
- Elmira Heights, NY 14903-1249
Phone: (607) 734-5474
Specialties
- Contractor (171W00000X)
Full Record
- NPI
- 1225749450
- Entity Type
- Individual
- Last Name
- Pencola
- First Name
- Amy
- Middle Name
- Ruth
- Mailing Street Address
- 122 W 14Th St
- Mailing City
- Elmira Heights
- Mailing State
- NY
- Mailing ZIP Code
- 14903-1249
- Mailing Country
- US
- Mailing Phone
- (607) 734-5474
- Practice Street Address
- 122 W 14Th St
- Practice City
- Elmira Heights
- Practice State
- NY
- Practice ZIP Code
- 14903-1249
- Practice Country
- US
- Practice Phone
- (607) 734-5474
- Enumeration Date
- December 08, 2022
- Last Updated
- December 08, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 08, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Contractor (171W00000X)