Individual
AMY MEADOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
430 W BROADWAY, 2ND FL, NEW YORK, NY 10012-3784
(212) 941-0011
Mailing address
430 W BROADWAY, 2ND FL, NEW YORK, NY 10012-3784
(212) 941-0011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005422-1
NY
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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