MEDICARE: MAISON AMORI NASSER DNP FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F357117-01	NY

General Provider Information

NPI Number	:	1346183662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAISON AMORI NASSER DNP FNP-BC

Provider Business Mailing Address
First Line	:	245 FORT WASHINGTON AVE APT 4A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-1239
Country	:	US
Telephone Number	:	646-515-4663
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 FORT WASHINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-3729
Country	:	US
Telephone Number	:	646-317-5077
Fax Number	:	212-305-8112

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2026
Last Update Date	:	04/11/2026

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