Provider Demographics
NPI:1629120688
Name:AMGF INC
Entity Type:Organization
Organization Name:AMGF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GRAZIELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARGNOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-979-4095
Mailing Address - Street 1:PO BOX 255
Mailing Address - Street 2:
Mailing Address - City:NESCONSET
Mailing Address - State:NY
Mailing Address - Zip Code:11767-0255
Mailing Address - Country:US
Mailing Address - Phone:631-979-4095
Mailing Address - Fax:
Practice Address - Street 1:940 GROVE RD # A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4215
Practice Address - Country:US
Practice Address - Phone:631-979-4095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier