Individual
AMANDA ROSE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2655 RIDGEWAY AVE, ROCHESTER, NY 14626-4296
(585) 723-7972
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 690-1153
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
025170
NY
Other
Enumeration date
10/20/2020
Last updated
10/18/2022
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