Provider Demographics
NPI:1699532044
Name:AMATO, SAVANNAH NOEL
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:NOEL
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 1:144 CURTIS ST
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2466
Mailing Address - Country:US
Mailing Address - Phone:740-972-4398
Mailing Address - Fax:
Practice Address - Street 1:144 CURTIS ST
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-2466
Practice Address - Country:US
Practice Address - Phone:740-972-4398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant