Amador, Sandy

Amador, Sandy is an sole proprietor health care provider with primary practice located at 6301 Kennedy Blvd , North Bergen NJ 07047-3420. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Amador, Sandy can be contacted via phone (201) 662-8700.

Contact Information

Primary practice address
6301 Kennedy Blvd North Bergen NJ 07047-3420
Fax: (201) 453-8075
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD02419 New Jersey

Profile Details

NPI number 1235125238
LBN Legal business name Amador, Sandy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2005
Last updated May 6th, 2015 - about 9 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 1235125238 NPPES
New Jersey MEDICAID 7434405

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