NPI

Krystle Michele' Amendola

NPI 1053676320

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
LMSW, CASAC
Type
Individual
Enumeration date
2012-07-11
Last updated
2016-11-03

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Specialties

Licenses

License NY
085787

Location

Practice location
1235 Montauk Hwy
City
Mastic NY
Postal code
11950-2934
Phone
(631) 772-3258

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Mastic, NY. 233 records in the public file.

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