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NPI Code Detail

MEDICARE: DR. GREGORY A AMO M.D.

MEDICARE: DR. GREGORY A AMO M.D.
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
1174400000XSpecialist187587NY

Other Identifiers

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

General Provider Information

NPI Number : 1295761559
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY A AMO M.D.
Provider Business Mailing Address
First Line : 1255 E 93RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4322
Country : US
Telephone Number : 718-257-9264
Fax Number : 718-272-1852
Provider Business Practice Location Address
First Line : 760 BROADWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-5317
Country : US
Telephone Number : 718-963-8533
Fax Number : 718-963-8529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2006
Last Update Date : 04/20/2015

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