Individual
AMANDEEP JUTLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1051 RIVERSIDE DR UNIT 74, NEW YORK, NY 10032-1007
(323) 347-1096
Mailing address
1051 RIVERSIDE DR UNIT 74, NEW YORK, NY 10032-1007
(323) 347-1096
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A129984
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
295946
NY
Other
Enumeration date
04/29/2012
Last updated
11/08/2018
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