Provider Demographics
NPI:1174568299
Name:YAMANI, AMIR (MD)
Entity type:Individual
Prefix:DR
First Name:AMIR
Middle Name:
Last Name:YAMANI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:153 STEVENS AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-2543
Mailing Address - Country:US
Mailing Address - Phone:914-667-3800
Mailing Address - Fax:914-667-3812
Practice Address - Street 1:153 STEVENS AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2543
Practice Address - Country:US
Practice Address - Phone:914-667-3800
Practice Address - Fax:914-667-3812
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY224154-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133132570OtherPOMCO
NY32407OtherCMO MONTEFIORE
NY2999199OtherAETNA
NYP2669950OtherOXFORD
NY002219303OtherUNITED HEALTHCARE
NY111186POtherHIP
NY9773403-003OtherCIGNA
NY02412664Medicaid
NY0498784OtherGHI
NY422B81OtherBLUE CROSS / BLUE SHIELD
NY422B81OtherEMPIRE NY GOVERNMENT
NYOH1358OtherHEALTHNET
NY224154-NYOther1199 SEIU
NY359047OtherGUARDIAN
NYP-11214493OtherMULTIPLAN
NY359047OtherGUARDIAN
NY133132570OtherPOMCO