Individual
DR. AMY DEFELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3959 BROADWAY, COLUMBIA UNIVERSTY DEPARTMENT PEDIATRICS, NEW YORK, NY 10032
(212) 304-7250
(212) 544-1974
Mailing address
100 REMSEN ST, BROOKLYN, NY 11201-4256
(718) 797-1069
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
151933
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01164694
—
NY
Enumeration date
03/08/2006
Last updated
11/26/2013
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