Individual
GILBERTO AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RSA
Contact information
Practice address
569 OLYMPIA AVE, CLIFFSIDE PARK, NJ 07010-1716
(201) 835-3067
(201) 840-8516
Mailing address
569 OLYMPIA AVE, CLIFFSIDE PARK, NJ 07010-1716
(201) 835-3067
(201) 840-8516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
O000092-1
NY
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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