Provider Demographics
NPI:1366647430
Name:AMINIAN, AMENEH (DPM)
Entity Type:Individual
Prefix:
First Name:AMENEH
Middle Name:
Last Name:AMINIAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 2ND AVE RM 303
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5639
Mailing Address - Country:US
Mailing Address - Phone:212-995-1500
Mailing Address - Fax:
Practice Address - Street 1:380 2ND AVE RM 303
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5639
Practice Address - Country:US
Practice Address - Phone:212-995-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006364213ES0103X
MAPOD-1201207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery