Amanda L Shepherd
Obstetrician & Gynecologist Gynecologic Oncologist
200 Old Country Rd Ste 365
Mineola
, New York 11501-4240
Amanda L Shepherd
Obstetrician & Gynecologist Gynecologic Oncologist
200 Old Country Rd Ste 365
Mineola
, New York 11501-4240
(516) 294-1206
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Amanda L Shepherd
- 200 Old Country Rd Ste 365
- Mineola, NY
- Zip : 11501-4240
- Fax : (516) 294-1206
- Phone : (516) 294-5440
Second Address
- Amanda L Shepherd
- 200 Old Country Rd Ste 365
- Mineola, NY
- Zip : 11501-4240
- Fax : (516) 294-1206
- Phone : (516) 294-5440
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 294037 | NY |
| N | 207V00000X | Obstetrician & Gynecologist | MD449062 | PA |
| Y | 207VX0201X | Gynecologic Oncologist | 294037 | NY |
| N | 207VX0201X | Gynecologic Oncologist | A135998 | CA |
National Provider Identifier
| NPI | 1285963843 |
|---|---|
| Provider Name | Amanda L Shepherd |
| First Address | Mineola, NY 11501-4240 |
| Second Address | Mineola, NY 11501-4240 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/12/2009 |
| Last Update Date | 17/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CA159437 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.