Individual
JOHN AMODIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-0050
(212) 263-0009
Mailing address
17 CENTRAL DR, GLEN HEAD, NY 11545-1105
(917) 812-5105
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
146767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00834015
—
NY
Enumeration date
04/13/2006
Last updated
07/16/2013
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