Amanda Bradt, SPECIALIST
Individual provider Active NPI Specialist · Amsterdam, NY
NPI 1801147384 · NPPES record last updated Jul 25, 2013
Key facts
- NPI
- 1801147384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 40 Henrietta Blvd
Amsterdam, NY 12010-1111 - Phone
- (518) 843-3003
- NPI assigned
- Sep 25, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
40 Henrietta Blvd
Amsterdam, NY 12010-1111
Mailing address
40 Henrietta Blvd
Amsterdam, NY 12010-1111
Phone (518) 843-3003
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2013. 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.