=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801065677
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMY E HANDLER M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2008
-----------------------------------------------------
Last Update Date | 10/11/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 57 NORTH ST SUITES 309-311
-----------------------------------------------------
City | DANBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06810-5660
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-743-0100
-----------------------------------------------------
Fax | 203-731-5268
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 57 NORTH ST SUITES 309-311
-----------------------------------------------------
City | DANBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06810-5660
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-743-0100
-----------------------------------------------------
Fax | 203-731-5268
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | 1842031
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | 049104
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------