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General NPI Number Information
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NPI Number | 1558822890
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Entity Type | Individual
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Provider Name | AYUSH AMIN MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 240 MEETING HOUSE LN
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City | SOUTHAMPTON
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State | NY
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Zip | 11968-5009
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Country | US
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Telephone | 631-726-8200
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Fax | 631-726-0396
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Provider Business Mailing Address
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Address Line | 4820 SW 48TH AVE UNIT 305
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City | OCALA
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State | FL
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Zip | 34474-6303
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Country | US
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Telephone | 732-766-3531
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME171781
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 103680
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME171781
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 103680
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License Number State | GA
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