Provider Demographics
NPI:1205900966
Name:NISHAWALA, AMISH N (MD)
Entity type:Individual
Prefix:DR
First Name:AMISH
Middle Name:N
Last Name:NISHAWALA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14 W 118TH ST
Mailing Address - Street 2:DUNLEVY MILBANK MEDICAL CLINIC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-1904
Mailing Address - Country:US
Mailing Address - Phone:212-369-8339
Mailing Address - Fax:212-360-0030
Practice Address - Street 1:ATRIA
Practice Address - Street 2:36 E 57TH STREET 5TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-600-2000
Practice Address - Fax:212-360-0030
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2024-11-04
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Provider Licenses
StateLicense IDTaxonomies
NY229661208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics