DR. STEFANO AMODIO M.D. NPI 1407946288

NPI Information

NPI: 1407946288
Provider Name: DR. STEFANO AMODIO, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2516 169TH ST
FLUSHING, NY
ZIP 11358
Phone: (718) 428-5800
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DR. Stefano Amodio, M.D. is a pediatrics in Flushing, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Stefano Amodio, M.D. NPI is 1407946288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2516 169TH ST
FLUSHING, NY
ZIP 11358-114
Phone: (718) 428-5800
Fax: (718) 428-5810

The enumeration date for this NPI number is 10/13/2006 and was last updated on 12/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	203734	NEW YORK	No
2	208000000X	Pediatrics		203734	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	554ALB	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	GHI MEDICARE
2	G92558	MEDICARE UPIN	NEW YORK
3	02281152	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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