IndividualActive
Amanda Agley, PA-C
NPI 1730748419 · Physician Assistant · Watertown, NY
Provider details
- NPI number
- 1730748419
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 023549 (NY)
Practice location
830 Washington St
Watertown, NY 13601-4034
Phone: (315) 755-3670
Fax: (315) 755-3671
Mailing address
830 Washington St
Watertown, NY 13601-4034
Registry dates
- Enumerated
- 2019-06-06
- Last updated
- 2024-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.