Basic Information
Provider Information
NPI: 1730348780
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AMIN
FirstName: NIVEE
MiddleName: PRADIP
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1305 YORK AVE FL 8
Address2:  
City: NEW YORK
State: NY
PostalCode: 100215663
CountryCode: US
TelephoneNumber: 6469625558
FaxNumber:  
Practice Location
Address1: 1305 YORK AVE FL 8
Address2:  
City: NEW YORK
State: NY
PostalCode: 100215663
CountryCode: US
TelephoneNumber: 6469625558
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/05/2008
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X255822NYY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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