Individual
MISS AZADEH AMJADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5800
Mailing address
534 E 83RD ST, APT D, NEW YORK, NY 10028-6800
(650) 245-0754
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
F430642
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401877
NY
Other
Enumeration date
04/07/2012
Last updated
11/05/2015
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