Healthcare Provider Details

I. General information

NPI: 1124031265
Provider Name (Legal Business Name): FELICITAS G AMADOR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 3RD AVE
NEW YORK NY
10010-7401
US

IV. Provider business mailing address

253 3RD AVE
NEW YORK NY
10010-7401
US

V. Phone/Fax

Practice location:
  • Phone: 212-475-1900
  • Fax: 212-475-0901
Mailing address:
  • Phone: 212-475-1900
  • Fax: 212-475-0901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License NumberXA5051610
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: