MEDICARE: AMANDA MAJOR

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	208000000X	Pediatrics Physician	322743	NY

General Provider Information

NPI Number	:	1194344747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MAJOR

Provider Business Mailing Address
First Line	:	146 PIERREPONT ST APT 3C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-2836
Country	:	US
Telephone Number	:	214-957-8939
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 ATLANTIC AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5501
Country	:	US
Telephone Number	:	212-263-5506
Fax Number	:

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

Provider Enumeration Date	:	04/14/2020
Last Update Date	:	08/16/2023

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