Individual provider · Type 1 NPI
Amanda Petova
Specialist · Brooklyn, NY
NPI number
1033043450
Active
Practice location
1231 Ovington Ave Apt D1
Brooklyn, NY 11219-6035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 3187673 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1033043450
Amanda Petova's National Provider Identifier is 1033043450, issued on Jun 10, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 10, 2026.