Paula Amonzem-Anglesey
Individual provider Active NPI Specialist · New York, NY
NPI 1891571196 · NPPES record last updated Sep 4, 2023
Key facts
- NPI
- 1891571196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1668208221 (NY)
- Practice address
- 200 E 69TH St Apt 2S
New York, NY 10021-0535 - Phone
- (917) 209-9215
- NPI assigned
- Sep 4, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1668208221 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1668208221 | NY | Yes |
Addresses
Primary practice location
200 E 69TH St Apt 2S
New York, NY 10021-0535
Mailing address
200 E 69TH St Apt 2S
New York, NY 10021-0535
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2023. 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.