Provider Demographics
NPI:1205823507
Name:OESTERLY, AMAR SINGH (DC)
Entity Type:Individual
Prefix:DR
First Name:AMAR
Middle Name:SINGH
Last Name:OESTERLY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1426 JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-9735
Mailing Address - Country:US
Mailing Address - Phone:585-703-3190
Mailing Address - Fax:
Practice Address - Street 1:1426 JACKSON RD
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-9735
Practice Address - Country:US
Practice Address - Phone:585-703-3190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011117-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor