National Provider Identifier
Amanda Brongo
Amanda Brongo is listed in the NPPES registry with a primary specialty of Registered Nurse in Rushville, NY and a listed phone number of (315) 879-1694.
Profile Overview
- NPI
- 1659175529
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- April 01, 2025
- Last Updated
- April 01, 2025
Practice Location
- 4020 Conklin RD
- Rushville, NY 14544-9706
Phone: (315) 879-1694
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1659175529
- Entity Type
- Individual
- Last Name
- Brongo
- First Name
- Amanda
- Mailing Street Address
- 4020 Conklin RD
- Mailing City
- Rushville
- Mailing State
- NY
- Mailing ZIP Code
- 14544-9706
- Mailing Country
- US
- Practice Street Address
- 4020 Conklin RD
- Practice City
- Rushville
- Practice State
- NY
- Practice ZIP Code
- 14544-9706
- Practice Country
- US
- Practice Phone
- (315) 879-1694
- Enumeration Date
- April 01, 2025
- Last Updated
- April 01, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 01, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)