Provider Demographics
NPI:1437209335
Name:SEGILIA, AMANDA F (CNM)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:F
Last Name:SEGILIA
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:204 HUNTINGTON ST
Mailing Address - Street 2:APT 1K
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-3970
Mailing Address - Country:US
Mailing Address - Phone:347-385-3732
Mailing Address - Fax:212-957-3010
Practice Address - Street 1:330 W 58TH ST
Practice Address - Street 2:SUITE 505
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1827
Practice Address - Country:US
Practice Address - Phone:212-957-3006
Practice Address - Fax:212-957-3010
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NYF001178367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife