Healthcare Provider Details

I. General information

NPI: 1477263671
Provider Name (Legal Business Name): AMANDA L FIGUEIREDO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2022
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

667 STONELEIGH AVE
CARMEL NY
10512-2454
US

IV. Provider business mailing address

667 STONELEIGH AVE
CARMEL NY
10512-2454
US

V. Phone/Fax

Practice location:
  • Phone: 845-244-0488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number749095
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number356090
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: