Individual provider · Type 1 NPI
Amanda Maria Koroneos, PA-C
Surgical Physician Assistant · Bronx, NY
NPI number
1962954636
Active
Practice location
1400 Pelham Parkway South
Bronx, NY 10461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 020323-1 (NY) |
| Surgical Physician Assistant Primary | 363AS0400X | 020323 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1962954636
Amanda Maria Koroneos, PA-C's National Provider Identifier is 1962954636, issued on Oct 28, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Jun 15, 2018.