Provider Demographics
NPI:1477842102
Name:AMORUSO, DAWN (MD)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:
Last Name:AMORUSO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:KLEINMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:11 PARK PLACE, SUITE 1200
Mailing Address - Street 2:TRIBECA PEDIATRICS
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007
Mailing Address - Country:US
Mailing Address - Phone:212-226-7666
Mailing Address - Fax:212-202-7988
Practice Address - Street 1:21 MCWILLIAMS PLACE
Practice Address - Street 2:TRIBECA PEDIATRICS
Practice Address - City:JERSY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302
Practice Address - Country:US
Practice Address - Phone:212-226-7666
Practice Address - Fax:212-202-7988
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269904208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics