Individual provider · NPI-1

Edward S Amis, MD

Radiology, Diagnostic Radiology · Bronx, NY

NPI number1508959735
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1508959735
Entity type
Individual (NPI-1)
Name
Edward S Amis
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 2, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology169055NYYes

Practice location

Mmc - Dept. Of Radiology
111 East 210th Street
Bronx, NY 10467

Phone 718-920-5113

Mailing address

300 E 54th St
Apt. 14 K,l
New York, NY 10022-5018

Phone 718-920-5113 · Fax 718-920-4854

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