Provider Demographics
NPI:1033505045
Name:WRIGHT, AMANDA E
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:E
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 GREENWICH ST STE 403
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10006-1895
Mailing Address - Country:US
Mailing Address - Phone:917-261-4414
Mailing Address - Fax:917-261-4420
Practice Address - Street 1:131 S DEARBORN ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-5517
Practice Address - Country:US
Practice Address - Phone:917-261-4414
Practice Address - Fax:917-261-4420
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL42008207R00000X
AZ58182207R00000X
CAA148636207R00000X
COCDR.0000598207R00000X
GA87301207R00000X
IAMF-46936207R00000X
IDMD-0768207R00000X
KS04-44336207R00000X
KYC0077207R00000X
MDD90607207R00000X
MEMD24424207R00000X
MIEMC0000646207R00000X
MN66722207R00000X
MS28939207R00000X
IL306150918207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine