Provider Demographics
NPI:1609032291
Name:LAUDE, AMY KRISTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:KRISTIN
Last Name:LAUDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3050 CORLEAR AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-5180
Mailing Address - Country:US
Mailing Address - Phone:718-543-2700
Mailing Address - Fax:718-601-0965
Practice Address - Street 1:10623 BELLAIRE BLVD # C280
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5242
Practice Address - Country:US
Practice Address - Phone:713-486-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-03
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3365207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine