Provider Demographics
NPI:1013110550
Name:MADDALENA, AMY (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:MADDALENA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1037 MAIN ST
Mailing Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2913
Mailing Address - Country:US
Mailing Address - Phone:914-734-8800
Mailing Address - Fax:914-734-8786
Practice Address - Street 1:34 LIVINGSTON ST
Practice Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4713
Practice Address - Country:US
Practice Address - Phone:845-483-6099
Practice Address - Fax:845-471-2579
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2013-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY265494207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine