Individual
AMANDA ENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3201 KINGS HWY, BROOKLYN, NY 11234-2625
(212) 241-6500
Mailing address
1468 MADISON AVE # 1264, NEW YORK, NY 10029-6508
(732) 804-5911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
330959
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
330959
NY
2086S0102X
Surgical Critical Care Physician
Primary
330959
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
NJ
Enumeration date
05/29/2017
Last updated
07/08/2024
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