Amodio, Stefano

Amodio, Stefano is an individual health care provider with primary practice located at 2516 169Th St , Flushing NY 11358-1114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Amodio, Stefano can be contacted via phone (718) 428-5800.

Contact Information

Primary practice address
2516 169Th St Flushing NY 11358-1114
Phone: (718) 428-5800
Fax: (718) 428-5810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 203734 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 203734 New York

Profile Details

NPI number 1407946288
LBN Legal business name Amodio, Stefano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Dec 3rd, 2012 - about 13 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 1407946288 NPPES
New York MEDICAID 02281152

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