Individual
DR. AMANDA JAYNE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE FL 5, NEW YORK, NY 10032-3729
(212) 342-1161
(212) 342-5754
Mailing address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-1734
(212) 342-5754
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
247911
NY
2086S0102X
Surgical Critical Care Physician
Primary
247911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3407150
—
NY
Enumeration date
06/02/2008
Last updated
12/05/2018
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