MRS. AMANDA DENICOLA (NPI# 1780150987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780150987 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA DENICOLA |
| Practice Address |
138 Broadway Street Elmira NY 14904 |
| Mailing Address |
571 Saint Josephs Blvd Fl 2 Elmira NY 14901-3230 |
| Practice Telephone | 6077342695 |
| Practice Fax Number | 6077342917 |
| Mailing Telephone | 6072712050 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 022806 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
138 BROADWAY STREET |
| City | ELMIRA |
| State | NY |
| Zip Code | 14904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649501743 | Rose Marie Horch | Licensed Practical Nurse | 1198 Maple Ave., C-7, Elmira, NY 14904 | 2010-01-29 |
| 1831164987 | Richard B Dunn | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-02-22 |
| 1407358989 | Sara Goodwin | Counselor | 310 Pennsylvania Ave, Elmira, NY 14904 | 2018-03-01 |
| 1841378965 | Richard B Dunn Dds PC | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-11-02 |
| 1649358771 | Prakash Thuraisamy | Dentist | 1007 Broadway, Elmira, NY 14904 | 2006-11-02 |
| 1205057270 | Gregory Schutrum | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-05-01 |
| 1861591109 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 209 Mount Zoar Street, Elmira, NY 14904-1231 | 2006-09-22 |
| 1760963557 | Caleb Mccaig | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2018-08-28 |
| 1497936157 | Mary Volino | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-11-21 |
| 1467632844 | Robert Whitney Humphries Jr. | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-11-14 |
| Find all providers in zip 14904 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942720891 | Erica Lynne Angelino | Physician Assistant | 600 Fitch St Ste 102, Elmira, NY 14905-1634 | 2017-06-21 |
| 1902907892 | Samuel J Russell | Physician Assistant | 555 Saint Josephs Blvd Ste M2, Elmira, NY 14901-3223 | 2006-09-26 |
| 1366540387 | Denis Charles Kingsley | Physician Assistant | 447 East Water Street, Elmira, NY 14901-3410 | 2006-09-21 |
| 1619583697 | Kelsey Ann Young | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-09-16 |
| 1386119519 | Alison R Eason | Physician Assistant | 200 Madison Ave Ste 2d, Elmira, NY 14901-3219 | 2018-10-03 |
| 1235589037 | Morgan John Conwell | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2016-06-13 |
| 1306202023 | Emily E. Martinez | Physician Assistant | 2572 N Us Highway 131, Elmira, MI 49730-8252 | 2016-01-11 |
| 1831579028 | Jacob Holmwood | Physician Assistant | 600 Ivy St, Ste 201, Elmira, NY 14905-1627 | 2015-06-03 |
| 1093145880 | Danielle Soya | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2013-11-15 |
| 1083988661 | Angela K Drake | Physician Assistant | 1138 Broadway St, Elmira, NY 14904-2502 | 2012-02-29 |
| Find all providers in ELMIRA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.