IndividualActive
Amanda Denicola
NPI 1780150987 · Physician Assistant · Elmira, NY
Provider details
- NPI number
- 1780150987
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 022806 (NY)
Practice location
1138 Broadway St
Elmira, NY 14904-2502
Phone: (607) 734-2695
Fax: (607) 734-2917
Mailing address
571 Saint Josephs Blvd
Elmira, NY 14901-3230
Registry dates
- Enumerated
- 2018-10-16
- Last updated
- 2020-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.