Healthcare Provider Details

I. General information

NPI: 1194344747
Provider Name (Legal Business Name): AMANDA MAJOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 ATLANTIC AVE
BROOKLYN NY
11201-5501
US

IV. Provider business mailing address

146 PIERREPONT ST APT 3C
BROOKLYN NY
11201-2836
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-5506
  • Fax:
Mailing address:
  • Phone: 214-957-8939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number322743
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: