Individual
AMANDA REED KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
57 BAY ST, STATEN ISLAND, NY 10301-2510
(855) 681-8700
Mailing address
8 PEARL ST, SUMMIT, NJ 07901-3801
(908) 246-1169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
03124001
NY
363A00000X
Physician Assistant
25MP00827500
NJ
Other
Enumeration date
02/27/2024
Last updated
05/08/2024
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