Amanda Charles
Individual provider Active NPI General Practice Registered Nurse · Elmsford, NY
NPI 1508665183 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1508665183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 951899-01 (NY)
- Practice address
- 45 Knollwood Rd Ste 102
Elmsford, NY 10523-2806 - Phone
- (212) 687-7464
- NPI assigned
- Mar 7, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 951899-01 | NY | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 951899-01 | NY | Yes |
Addresses
Primary practice location
45 Knollwood Rd Ste 102
Elmsford, NY 10523-2806
Mailing address
45 Knollwood Rd Ste 102
Elmsford, NY 10523-2806
Phone (212) 687-7464
Other providers in Elmsford, NY
- Lorraine Camacho-Vasquez
- Felice Marie Cappello
- Betti L Cardenas
- Antoinette Ceus
- Elizabeth Chapman
- Fong Chin
- Yem Hung Chin
- Tina Chung
- Charles Carmen Coppola
- William Costigan Jr.
All providers in Elmsford, NY · General Practice Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.