Provider Demographics
NPI:1770737793
Name:TINKELMAN, AMANDA RACHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:RACHAEL
Last Name:TINKELMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8204 218TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-1416
Mailing Address - Country:US
Mailing Address - Phone:646-263-8422
Mailing Address - Fax:
Practice Address - Street 1:7559 263RD ST
Practice Address - Street 2:THE ZUCKER HILLSIDE HOSPITAL
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1150
Practice Address - Country:US
Practice Address - Phone:718-470-8005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2558152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry