Individual
AMANDA ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3332 ROCHAMBEAU AVE, BRONX, NY 10467-2836
(718) 920-5157
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3387
(860) 679-1494
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
065336
CT
207V00000X
Obstetrics & Gynecology Physician
293094
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2014
Last updated
09/28/2022
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