Provider Demographics
NPI:1134557614
Name:ANTA AMAR
Entity type:Organization
Organization Name:ANTA AMAR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH CARE WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ANTA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-288-4713
Mailing Address - Street 1:2782 SAMPSON AVE
Mailing Address - Street 2:BSM
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-2944
Mailing Address - Country:US
Mailing Address - Phone:646-288-4713
Mailing Address - Fax:
Practice Address - Street 1:2782 SAMPSON AVE
Practice Address - Street 2:BSM
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2944
Practice Address - Country:US
Practice Address - Phone:646-288-4713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5469915251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health