Conanan, Amado E

Conanan, Amado E is an sole proprietor health care provider with primary practice located at 5718 Woodside Ave 2Nd Floor, Woodside NY 11377-3444. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Conanan, Amado E can be contacted via phone (718) 205-0030.

Contact Information

Primary practice address
5718 Woodside Ave 2Nd Floor Woodside NY 11377-3444
Phone: (718) 205-0030
Fax: (718) 205-6136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 022161 New York

Profile Details

NPI number 1700925880
LBN Legal business name Conanan, Amado E
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jan 5th, 2011 - about 14 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 1700925880 NPPES
New York MEDICAID 02527282

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