Individual
MS. AMANDA MARIE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7670 OMNITECH PL, VICTOR, NY 14564-9782
(585) 275-5321
Mailing address
601 ELMWOOD AVE BOX 665, ROCHESTER, NY 14642-0001
(585) 275-5321
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
347707
NY
363LF0000X
Family Nurse Practitioner
Primary
347707
NY
Other
Enumeration date
06/01/2021
Last updated
07/07/2023
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