Ali, Amanda Elizabeth

Ali, Amanda Elizabeth is an individual health care provider with primary practice located at 975 Westchester Ave , Bronx NY 10459-3204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ali, Amanda Elizabeth can be contacted via phone (718) 320-4466.

Contact Information

Primary practice address
975 Westchester Ave Bronx NY 10459-3204
Fax: (718) 991-3829
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 338466 New York

Profile Details

NPI number 1164847786
LBN Legal business name Ali, Amanda Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2014
Last updated Mar 11th, 2014 - about 10 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 1164847786 NPPES
New York MEDICAID 00695941

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