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Amanda Mandell, PA

Physician Assistant in Altamont, NY. Individual provider (NPI-1).

NPI number1992698609
StatusActive
Last updated in NPPESJul 29, 2025

Details

NPI
1992698609
Entity type
Individual (NPI-1)
Name
Amanda Mandell
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 2, 2025
Certification date
Jul 29, 2025
Last updated
Jul 29, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant034160NYYes

Practice location

2508 Western Ave
Altamont, NY 12009-9485

Phone 518-690-0177

Mailing address

2508 Western Ave
Altamont, NY 12009-9485

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Altamont, NY

All 6 Physician Assistant providers in Altamont · All 95 providers in Altamont

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