Healthcare Provider Details

I. General information

NPI: 1861600678
Provider Name (Legal Business Name): AMRITA SETHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 FT WASHINGTN AVE
NEW YORK NY
10032-3729
US

IV. Provider business mailing address

630 W 168TH ST BOX 4
NEW YORK NY
10032-3725
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-1909
  • Fax: 212-305-1081
Mailing address:
  • Phone: 212-305-1909
  • Fax: 212-305-1081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number249451
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number036175173
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: