Healthcare Provider Details

I. General information

NPI: 1750514923
Provider Name (Legal Business Name): NEW AMSTERDAM MEDICAL ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 11/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E 64TH ST 4TH FLOOR
NEW YORK NY
10065-7471
US

IV. Provider business mailing address

210 E 64TH ST 4TH FLOOR
NEW YORK NY
10065-7471
US

V. Phone/Fax

Practice location:
  • Phone: 212-434-4306
  • Fax:
Mailing address:
  • Phone: 212-434-4306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER GROSS
Title or Position: PRESIDENT
Credential: MD
Phone: 201-996-3600