Basic Information
| Provider Information | |||||||||
| NPI: | 1689833980 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAGEE | ||||||||
| FirstName: | AMANDA | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 142 E 49TH ST # PHN | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100171211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9172870357 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 E 77TH ST | ||||||||
| Address2: | 6 BLACK HALL | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100751850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2124342140 | ||||||||
| FaxNumber: | 2124342446 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2008 | ||||||||
| LastUpdateDate: | 06/19/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 248771-1 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.