MEDICARE: ALYSSA KRISTINE AMICONE MGC

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	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1821921800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA KRISTINE AMICONE MGC

Provider Business Mailing Address
First Line	:	3350 WHITEFORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-9081
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 MONUMENT RD STE 1100
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17403-5024
Country	:	US
Telephone Number	:	717-851-2441
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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