Individual
AMNUAY GOODDAY PETTWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7272
Mailing address
75 PLEASANT ST, RUMFORD, RI 02916-1311
(414) 340-9665
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
1108467
WI
208000000X
Pediatrics Physician
Primary
P132374
NY
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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