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Individual

AMANDA LYNN BALDAUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-3475
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
021440
NY
363AM0700X
Medical Physician Assistant
21440
NY

Other

Enumeration date
08/26/2017
Last updated
07/17/2023
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