Amnuay Goodday Pettway, MD is a
Pediatrics based in Brooklyn, New York. Amnuay Goodday Pettway is licensed to practice in New York (license number P132374) and his current practice location is
374 Stockholm St, Brooklyn, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 963-7272.
NPI number for Amnuay Goodday Pettway is 1831984855 and his current mailing address is 75 Pleasant St, Rumford, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831984855.
Provider's Profile
Full Name | Amnuay Goodday Pettway |
---|
Gender | Male |
---|
Speciality | Pediatrics |
---|
Location | 374 Stockholm St, Brooklyn, New York |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831984855
- Provider Enumeration Date: 04/10/2025
- Last Update Date: 04/10/2025
Medical Identifiers
Medical identifiers for Amnuay Goodday Pettway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831984855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WM0705X | Registered Nurse - Medical-surgical | 1108467 (Wisconsin) | Secondary |
208000000X | Pediatrics | P132374 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amnuay Goodday Pettway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amnuay Goodday Pettway, MD 75 Pleasant St, Rumford, RI 02916-1311 Ph: (414) 340-9665 | Amnuay Goodday Pettway, MD 374 Stockholm St, Brooklyn, NY 11237-4006 Ph: (718) 963-7272 |
Reviews and Comments