MEDICARE: NY FAMILY MEDICINE ASSOCIATES, PC

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

General Provider Information

NPI Number	:	1265424923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NY FAMILY MEDICINE ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	30 CLINTON ST E
Second Line	:
City	:	VALHALLA
State	:	NY
Zip	:	10595-1810
Country	:	US
Telephone Number	:	914-949-4661
Fax Number	:

Provider Business Practice Location Address
First Line	:	470 E FORDHAM RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5108
Country	:	US
Telephone Number	:	718-960-3805
Fax Number	:	718-960-3806

Authorized Official
Title or Position	:	ATTENDING PHYSICIAN
Name	:	DR. PAULA AMENDOLA-SEKINSKI
Credential	:	DO
Telephone Number	:	718-960-3805

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	08/22/2020

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