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NPI Code Detail

MEDICARE: DR. TODD J AMUS D.D.S.

MEDICARE: DR. TODD J AMUS D.D.S.
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
11223G0001XGeneral Practice Dentistry043644NY

General Provider Information

NPI Number : 1366654063
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TODD J AMUS D.D.S.
Provider Business Mailing Address
First Line : 623 WARBURTON AVE
Second Line :
City : HASTINGS ON HUDSON
State : NY
Zip : 10706-1523
Country : US
Telephone Number : 914-478-2224
Fax Number : 914-478-2295
Provider Business Practice Location Address
First Line : 623 WARBURTON AVE
Second Line :
City : HASTINGS ON HUDSON
State : NY
Zip : 10706-1523
Country : US
Telephone Number : 914-478-2224
Fax Number : 914-478-2295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 07/08/2007

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