Individual
AMANDA CATHERINE CAMPANILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 SOUTH AVE, STATEN ISLAND, NY 10314-3418
(718) 226-5619
Mailing address
70 JEANETTE AVE, STATEN ISLAND, NY 10312-3611
(718) 406-5771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033966-01
NY
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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