MEDICARE: DR. AMBER REGINA CATHERINE FERRELL 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
1	207V00000X	Obstetrics & Gynecology Physician	8222058	NY

General Provider Information

NPI Number	:	1427490556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMBER REGINA CATHERINE FERRELL M.D.

Provider Business Mailing Address
First Line	:	444 81ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3905
Country	:	US
Telephone Number	:	614-332-2426
Fax Number	:

Provider Business Practice Location Address
First Line	:	1854 BEDFORD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-5006
Country	:	US
Telephone Number	:	718-462-0018
Fax Number	:

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

Provider Enumeration Date	:	07/17/2013
Last Update Date	:	07/17/2013

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