Individual
AMENA SULTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 GREENE AVENUE, SUITE # 2F, BROOKLYN, NY 11238
(718) 783-3690
(718) 783-5584
Mailing address
55 GREENE AVENUE, SUITE # 2F, BROOKLYN, NY 11238-6433
(718) 783-3690
(718) 783-5584
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01657689
—
NY
01
—
550Y71
BCBS
—
01
—
P4789228
OXFORD
—
Enumeration date
12/05/2006
Last updated
10/15/2012
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