National Provider Identifier
Amanda Elyse Marengo
Amanda Elyse Marengo is listed in the NPPES registry with a primary specialty of Physician Assistant in Horseheads, NY and a listed phone number of (607) 739-8711.
Profile Overview
- NPI
- 1336581115
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 22, 2013
- Last Updated
- July 22, 2013
Practice Location
- 3005 Watkins RD
- Horseheads, NY 14845-1800
Phone: (607) 739-8711
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1336581115
- Entity Type
- Individual
- Last Name
- Marengo
- First Name
- Amanda
- Middle Name
- Elyse
- Mailing Street Address
- 3005 Watkins RD
- Mailing City
- Horseheads
- Mailing State
- NY
- Mailing ZIP Code
- 14845-1800
- Mailing Country
- US
- Mailing Phone
- (607) 739-8711
- Practice Street Address
- 3005 Watkins RD
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-1800
- Practice Country
- US
- Practice Phone
- (607) 739-8711
- Practice Fax
- (607) 796-2566
- Enumeration Date
- July 22, 2013
- Last Updated
- July 22, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)