Individual
AMANDA ELIZABETH ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 WESTCHESTER AVE, BRONX, NY 10459-3204
(718) 320-4466
(718) 991-3829
Mailing address
60 MADISON AVE, 5TH FLOOR, NEW YORK, NY 10010-1600
(212) 545-2438
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338466
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
02/19/2014
Last updated
03/11/2014
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