Provider Demographics
NPI:1427490556
Name:FERRELL, AMBER REGINA CATHERINE (MD)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:REGINA CATHERINE
Last Name:FERRELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 81ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3905
Mailing Address - Country:US
Mailing Address - Phone:614-332-2426
Mailing Address - Fax:
Practice Address - Street 1:1854 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-5006
Practice Address - Country:US
Practice Address - Phone:718-462-0018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8222058207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology