Individual
MRS. AMANDA ELIZABETH DIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 LATTIMORE RD, ROCHESTER, NY 14620-4159
(585) 758-5700
Mailing address
601 ELMWOOD AVE BOX 629, ROCHESTER, NY 14642-0001
(585) 758-5700
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
020696
NY
207YP0228X
Pediatric Otolaryngology Physician
20696
NY
Other
Enumeration date
05/19/2008
Last updated
06/29/2023
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