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Contact Information

AMANDA M MEYERRICKS, PA-C
650 HAWKINS AVE STE 7
RONKONKOMA, NY11779-2366
 Phone: 631-737-0055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMANDA M MEYERRICKS · (Female)

NPI # 1982356911
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/20/2022
Last updated 02/10/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 027286
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
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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