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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA MICKENS, MSED

Active Sole Proprietor

AMANDA MICKENS, MSED is a Specialist healthcare provider located in BRONX, New York. NPI 1881145977 is currently active in the NPPES registry. Verify at CMS.

Specialist · BRONX, NY

Registration Details

NPI Number
1881145977
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2016 (9.8008577472397 yrs)
Last Updated
Oct 24, 2016
License
899460141 (NY)
Sole Proprietor
Yes

Practice Information

Address
875 MORRISON AVE APT 11J
BRONX, NY, 104734404
Browse NY providers · Browse ZIP 10473
Phone
6462810434
Primary Specialty
Specialist
174400000X

Other Specialist Providers in BRONX, NY

Name Credential NPI
DR. MICHAEL LEVGUR MD 1952307076
EDWARD BLUM PT 1407841588
MICHAEL GUCCIONE M.D. 1902893340
DR. SHARON A GOLDSTEIN MD 1093797029
DR. JEROME H LEVY MD 1710969746
DR. ARED GARAN M.D. 1508846585
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.