Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Maridanielle D. Annicchiarico, Registered Physician Assistant-Certifie

Organization Surgical Physician Assistant · NPI 1801040126

Maridanielle D. Annicchiarico, Registered Physician Assistant-Certifie provides Surgical Physician Assistant services in Newburgh, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

15 Black Angus Ct
Newburgh, NY 12550-1567 Not confirmed with CMS for 17 years — call before visiting
Phone: (845) 566-4595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 005535-1 (NY)

Record details

NPI number1801040126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maridanielle Annicchiarico — Director · (845) 566-4595
NPI enumeratedNovember 13, 2008
Last updated in NPPESNovember 13, 2008
Mailing addressPo Box 10082, Newburgh, NY 12552-0082

Other providers in Newburgh