Individual
DR. AMOD THANJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
163 W 125TH ST, NEW YORK, NY 10027-4436
(212) 961-8700
Mailing address
8714 57TH RD APT 3A, ELMHURST, NY 11373-4865
(347) 579-6058
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
325064
NY
Other
Enumeration date
06/24/2020
Last updated
01/18/2025
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