Laird, Amanda M.

Laird, Amanda M. is an individual health care provider with primary practice located at 3400 Bainbridge Ave , Bronx NY 10467-2404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Laird, Amanda M. can be contacted via phone (718) 920-4059.

Contact Information

Primary practice address
3400 Bainbridge Ave Bronx NY 10467-2404
Phone: (718) 920-4059
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2002-00135 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 0200135 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301096481 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X P1559 Texas

Profile Details

NPI number 1851377576
LBN Legal business name Laird, Amanda M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Feb 17th, 2017 - about 7 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 1851377576 NPPES
North Carolina MEDICAID 5901563

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