MEDICARE: MS. AMY PANDYA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	239240	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033255476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY PANDYA MD

Provider Business Mailing Address
First Line	:	300 CADMAN PLZ W FL 17
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3229
Country	:	US
Telephone Number	:	718-822-1818
Fax Number	:	347-916-1906

Provider Business Practice Location Address
First Line	:	300 CADMAN PLZ W FL 17
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3229
Country	:	US
Telephone Number	:	718-822-1818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	04/19/2019

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