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Individual

DR. AMY X MA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
6936 HARROW ST, FOREST HILLS, NY 11375-5152
(718) 275-6197
Mailing address
6936 HARROW ST, FOREST HILLS, NY 11375-5152
(718) 909-3693

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
333554
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02226222
NY
Enumeration date
08/16/2006
Last updated
07/30/2020
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