Individual
AMANDA CLONICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 S CLINTON AVE STE 230, ROCHESTER, NY 14618-2668
(585) 341-7220
Mailing address
136 CRYSTAL CREEK DR, ROCHESTER, NY 14612-3074
(585) 880-3782
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311119
NY
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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