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Contact Information

AMANDA L AGLEY, PA-C
830 WASHINGTON ST
WATERTOWN, NY13601-4034
 Phone: 315-755-3670
 Fax: 315-755-3671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMANDA L AGLEY · (Female)

NPI Number 1730748419
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/06/2019
Last updated 02/15/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 023549
  • NY Medicaid 05967193
Hospital affiliation(s)
  • CANTON-POTSDAM HOSPITAL - (Acute Care)
    50 LEROY STREET
    POTSDAM, NY 13676
  • MASSENA MEMORIAL HOSPITAL - (Acute Care)
    1 HOSPITAL DRIVE
    MASSENA, NY 13662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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