O'Connell, Amanda

O'Connell, Amanda is an individual health care provider with primary practice located at 315 Grant Ave , Lake Katrine NY 12449-5342. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. O'Connell, Amanda can be contacted via phone (845) 339-2525.

Contact Information

Primary practice address
315 Grant Ave Lake Katrine NY 12449-5342
Phone: (845) 339-2525
Fax: (845) 339-2626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 019729 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 019729 New York

Profile Details

NPI number 1386094829
LBN Legal business name O'Connell, Amanda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2016
Last updated Jun 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386094829 NPPES
New York MEDICAID 02801449

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