MEDICARE: AMANDA MARIE RIDER CARCHI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	016363	NY
2	363A00000X	Physician Assistant	016363	NY

General Provider Information

NPI Number	:	1487993002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MARIE RIDER CARCHI PA-C

Provider Business Mailing Address
First Line	:	25 HUDSON ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-3802
Country	:	US
Telephone Number	:	212-441-4401
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 E 65TH ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6607
Country	:	US
Telephone Number	:	212-321-7002
Fax Number	:	415-252-7176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2013
Last Update Date	:	03/14/2025

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Directions to “ AMANDA MARIE RIDER CARCHI PA-C” Practice Location

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