Individual
AMEN IMHOTEP PTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 GENESEE ST, ROCHESTER, NY 14611-3634
(585) 436-3040
Mailing address
54 HARPER ST APT 1, ROCHESTER, NY 14607-3194
(585) 284-0424
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NY
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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