NPI 1013338995

Amanda Rose McGowan, PAC

Practitioner Physician Assistant Oceanside, NY

Practice location

Address: 2710 Long Beach Rd, Oceanside, NY 11572-2255
Phone: (516) 558-7858
Fax: (516) 812-3975

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 017276 (NY)

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Registry record

NPI: 1013338995
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Dec 2013
Record last updated: 19 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.