Anita G Amidon, M.D.
Individual provider Active NPI Gynecology Physician · New Hartford, NY
NPI 1124247192 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124247192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- 204344-1 (NY)
- Practice address
- 600 French Rd
New Hartford, NY 13413-1037 - Phone
- (315) 738-1662
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204344-1 | NY | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiation Oncology Services PC | Past | Accepting new patients | |
| Mohawk Valley Womens Health Associates LLP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 204344-1 | NY | Yes |
Addresses
Primary practice location
600 French Rd
New Hartford, NY 13413-1037
Mailing address
111 Jubilee LN
New Hartford, NY 13413-4401
Other providers in New Hartford, NY
- Allcare Dental & Dentures of Ny PC
- Kwaku Amankwah
- Joseph Anthony Amendolare
- Lingappa Amernath
- Amidon Medical Group PLLC
- Joel P Amidon II
- Amy V Gorczynski RN MD PC
- Minela Andelija
- Gunnar H Anderson
- Andrea Meier, LCSW PLLC
All providers in New Hartford, NY · Gynecology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.