Provider Demographics
NPI:1598784084
Name:AMSTERDAM, ALISON DEBORA (MD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:DEBORA
Last Name:AMSTERDAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 LIBERTY STREET
Mailing Address - Street 2:FEDERAL RESERVE BANK OF NEW YORK
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10045
Mailing Address - Country:US
Mailing Address - Phone:212-720-5202
Mailing Address - Fax:212-720-7775
Practice Address - Street 1:33 LIBERTY STREET
Practice Address - Street 2:FEDERAL RESERVE BANK OF NEW YORK
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10045
Practice Address - Country:US
Practice Address - Phone:212-720-5202
Practice Address - Fax:212-720-7775
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221697207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI44175Medicare UPIN