Individual
AMY D TIERSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1176 5TH AVE, NEW YORK, NY 10029
(212) 241-3300
Mailing address
1 GUSTAVE L LEVY PL # 3000, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
186341
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01676746
—
NY
Enumeration date
08/02/2005
Last updated
02/26/2019
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