Individual
AMANDA L BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2365 S CLINTON AVE STE 100, ROCHESTER, NY 14618-2663
(585) 442-5320
(585) 442-5526
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014874
—
NY
Enumeration date
05/26/2011
Last updated
08/19/2022
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