Amengual, Jennifer Effie

Amengual, Jennifer Effie is an individual health care provider with primary practice located at 622 W 168Th St , New York NY 10032-3720. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Amengual, Jennifer Effie can be contacted via phone (212) 731-5196.

Contact Information

Primary practice address
622 W 168Th St New York NY 10032-3720
Phone: (212) 731-5196
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 244419 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 244419 New York
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 244419 New York

Profile Details

NPI number 1073718854
LBN Legal business name Amengual, Jennifer Effie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Jun 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073718854 NPPES
New York MEDICAID 03252444

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