Healthcare Provider Details

I. General information

NPI: 1023729886
Provider Name (Legal Business Name): AMAAN AMIR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3412 10TH ST
LONG ISLAND CITY NY
11106-5108
US

IV. Provider business mailing address

5720 163RD ST FL 2
FLUSHING NY
11365-1439
US

V. Phone/Fax

Practice location:
  • Phone: 347-642-4306
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: