Provider Demographics
NPI:1740768191
Name:AMATO, BRITTANY LYNN
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYNN
Last Name:AMATO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2977 WESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-4611
Mailing Address - Country:US
Mailing Address - Phone:516-382-4346
Mailing Address - Fax:
Practice Address - Street 1:848 HICKSVILLE RD
Practice Address - Street 2:
Practice Address - City:NORTH MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-1210
Practice Address - Country:US
Practice Address - Phone:516-731-3210
Practice Address - Fax:516-731-3886
Is Sole Proprietor?:No
Enumeration Date:2018-07-29
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022276363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant