Active NPIIndividual providerSole proprietor

Amnuay G Pettway, MD

Pediatrics in Brooklyn, New York

NPI Number1831984855
Practice location
374 Stockholm St, Brooklyn, NY 11237-4006
Fax
—
Last updated
April 10, 2025

Amnuay Goodday Pettway is a Pediatrics based in Brooklyn, NY. Amnuay Goodday Pettway practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Amnuay Goodday Pettway is 1831984855 and holds a License No. 1108467 (WI). The current practice location address for Amnuay Goodday Pettway is 374 Stockholm St, Brooklyn, NY 11237-4006 and can be reached out via phone at 718-963-7272.

Provider Profile Details

NPI Number
1831984855
Provider Name
Amnuay Goodday Pettway
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
374 Stockholm St, Brooklyn, NY 11237-4006
Phone Number
718-963-7272
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
April 10, 2025
Last Update Date
April 10, 2025
Certification Date
April 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
374 Stockholm St
Brooklyn, NY 11237-4006
Zip
11237-4006
Phone Number
718-963-7272
Brooklyn, NY 11237Get directions →

Provider Business Mailing Address Details

Address
75 Pleasant St
Rumford, RI 02916-1311
City
Rumford
State
RI
Zip
02916-1311
Phone Number
414-340-9665

License Information

License Number (1)
1108467
License State (1)
WI
Taxonomy (1)
Registered Nurse, Medical-Surgical · 163WM0705X
License Number (2)
P132374
License State (2)
NY
Taxonomy (2)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amnuay G Pettway, MD?

The NPI number of Amnuay G Pettway, MD is 1831984855. It was assigned on April 10, 2025 and is currently active in the NPPES registry.

What is the specialty of Amnuay G Pettway, MD?

Amnuay G Pettway, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in WI under license number 1108467.

Where does Amnuay G Pettway, MD practice?

The practice location is 374 Stockholm St, Brooklyn, NY 11237-4006. The office can be reached at 718-963-7272 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831984855 directly on the NPPES registry website.

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