Individual
DR. FREDERICK DONATO AMOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-6387
Mailing address
423 OCEAN PKWY, APT 4B, BROOKLYN, NY 11218-5134
(347) 240-0302
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
003773
NY
208600000X
Surgery Physician
N9161
TX
Other
Enumeration date
04/04/2011
Last updated
02/11/2022
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