Basic Information
Provider Information
NPI: 1154411320
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PRESTI
FirstName: AMY
MiddleName: L.
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2001 3RD AVE S
Address2: SUITE 601
City: BIRMINGHAM
State: AL
PostalCode: 352332115
CountryCode: US
TelephoneNumber: 2059962245
FaxNumber: 2059962254
Practice Location
Address1: 2001 3RD AVE S
Address2: SUITE 601
City: BIRMINGHAM
State: AL
PostalCode: 352332115
CountryCode: US
TelephoneNumber: 2059962245
FaxNumber: 2059962254
Other Information
ProviderEnumerationDate: 10/16/2006
LastUpdateDate: 07/27/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X217847NYN Allopathic & Osteopathic PhysiciansPediatrics 
2080N0001X217847NYN Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
2080N0001X28115ALY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


Home