Provider Demographics
NPI:1245882356
Name:AMORY, ABENA
Entity type:Individual
Prefix:
First Name:ABENA
Middle Name:
Last Name:AMORY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ABENA
Other - Middle Name:
Other - Last Name:AMORY-POWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1458 DEAN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-1504
Mailing Address - Country:US
Mailing Address - Phone:718-216-4893
Mailing Address - Fax:
Practice Address - Street 1:1458 DEAN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-1504
Practice Address - Country:US
Practice Address - Phone:718-216-4893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula