Provider Demographics
NPI:1528451994
Name:AMARO, TATIANA
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:
Last Name:AMARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 W KINGSBRIDGE RD
Mailing Address - Street 2:APT 3D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-7332
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:160 W KINGSBRIDGE RD
Practice Address - Street 2:APT 3D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-7332
Practice Address - Country:US
Practice Address - Phone:914-703-0865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional