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Individual

AMANDA RUTH STEFFAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 ELMWOOD AVE STE 100, ROCHESTER, NY 14620-3042
(585) 271-0761
Mailing address
143 BANCROFT DR, ROCHESTER, NY 14616-2906
(716) 581-0173

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
705031
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
705031
NY
Enumeration date
11/15/2017
Last updated
11/15/2017
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