Individual
AMY DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9 MERRYDALE DRIVE, ROCHESTER, NY 14624
(585) 330-5597
Mailing address
9 MERRYDALE DR, ROCHESTER, NY 14624-2915
(585) 330-5597
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017082-1
NY
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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