Individual provider · Type 1 NPI

Amy Mattielli, P.A.-C.

Surgical Physician Assistant · Staten Island, NY

NPI number 1013980606 Active

Practice location

2454 Hylan Boulevard
Staten Island, NY 10306

Call (718) 233-1300 Map

Fax (718) 980-9728

Mailing address

124 Cindy St
Old Bridge, NJ 08857-3023

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X006636 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1013980606

Amy Mattielli, P.A.-C.'s National Provider Identifier is 1013980606, issued on Feb 13, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on Jul 13, 2026.