Provider Demographics
NPI:1346865342
Name:CHI, AMIE K
Entity Type:Individual
Prefix:MS
First Name:AMIE
Middle Name:K
Last Name:CHI
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 1:290 COLLINS AVE APT 3G
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-1704
Mailing Address - Country:US
Mailing Address - Phone:914-263-0584
Mailing Address - Fax:
Practice Address - Street 1:1600 PARKVIEW AVE STE B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-5243
Practice Address - Country:US
Practice Address - Phone:718-829-7744
Practice Address - Fax:718-829-7745
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist