Individual
AMANDA LAINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 NORTH ST STE 101, GENEVA, NY 14456-1561
(315) 787-5175
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900
(585) 922-1002
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
318976
NY
Other
Enumeration date
03/29/2014
Last updated
10/05/2023
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