Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly M Amodio, PA

Individual provider Physician Assistant · NPI 1215970629

Kimberly M Amodio, PA is a Physician Assistant in Syracuse, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1000 E Genesee St Ste 205 & 206
Syracuse, NY 13210-1892
Phone: (315) 464-1600
Fax: (315) 464-1601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 007560 (NY)

Record details

NPI number1215970629
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESMay 18, 2010

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