Individual
AMELIA MACINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
13303 JAMAICA AVE, JAMAICA, NY 11418-2618
(718) 206-6942
Mailing address
6122 CARDENO DR, LA JOLLA, CA 92037-6924
(619) 384-5600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A17353
CA
Other
Enumeration date
05/04/2016
Last updated
11/29/2021
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