Individual
JACQUELINE BRITTANY AMSDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
739 IRVING AVE, SUITE 640, SYRACUSE, NY 13210
(315) 464-6255
(315) 464-6251
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4576
(315) 464-6255
(315) 464-6251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
025830
NY
363A00000X
Physician Assistant
PA08521
TX
363AS0400X
Surgical Physician Assistant
Primary
4620
CT
363AS0400X
Surgical Physician Assistant
PA08521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335901001
—
TX
05
—
335901004
—
TX
01
—
8745NY
BCBS
TX
Enumeration date
07/26/2013
Last updated
05/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us