Individual
DR. AMANDA M. LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 BAINBRIDGE AVE, BRONX, NY 10467-2404
(718) 920-4059
Mailing address
320 E 58TH ST, APT 3H, NEW YORK, NY 10022-2220
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0200135
NC
208600000X
Surgery Physician
2002-00135
NC
208600000X
Surgery Physician
Primary
25MA10051400
NJ
208600000X
Surgery Physician
4301096481
MI
208600000X
Surgery Physician
P1559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901563
—
NC
Enumeration date
12/15/2005
Last updated
07/01/2025
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