Individual
AMANDA CLARK CONIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1415 PORTLAND AVE STE 445, ROCHESTER, NY 14621-3022
(585) 922-9800
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
316846
NY
207RC0000X
Cardiovascular Disease Physician
Primary
316846
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39
—
NC
Enumeration date
05/04/2015
Last updated
02/28/2024
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