Provider Demographics
NPI:1851356141
Name:LICHTENFELD, AMY D (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:D
Last Name:LICHTENFELD
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 1:178 E 85TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2119
Mailing Address - Country:US
Mailing Address - Phone:212-288-2278
Mailing Address - Fax:212-517-4077
Practice Address - Street 1:178 E 85TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2119
Practice Address - Country:US
Practice Address - Phone:212-288-2278
Practice Address - Fax:212-517-4077
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165740174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY44F401OtherEMPIRE BLUE CROSS
NYNP266OtherOXFORD
NY56919OtherAETNA - HMO
NY3C0373OtherHEALTHNET
NYNP266OtherOXFORD