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
Phone: (201) 662-8700
Fax: (201) 453-8075
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235125238 | NPPES |
| New Jersey | MEDICAID | 7434405 |
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