Healthcare Provider Details

I. General information

NPI: 1346183662
Provider Name (Legal Business Name): MAISON AMORI NASSER DNP FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 FORT WASHINGTON AVE
NEW YORK NY
10032-3729
US

IV. Provider business mailing address

245 FORT WASHINGTON AVE APT 4A
NEW YORK NY
10032-1239
US

V. Phone/Fax

Practice location:
  • Phone: 646-317-5077
  • Fax: 212-305-8112
Mailing address:
  • Phone: 646-515-4663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF357117-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: