Individual
MS. AMANDA HOLLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4901 LAC DE VILLE BLVD BLDG D, ROCHESTER, NY 14618-5647
(585) 275-5321
Mailing address
601 ELMWOOD AVE BOX 6665, ROCHESTER, NY 14642-0001
(585) 275-5321
(585) 276-1202
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
319852
NY
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
BF4323200B29
VT
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MD470840
PA
367500000X
Certified Registered Nurse Anesthetist
319852
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
07/22/2023
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