Individual
STEPHANIE AMDUR-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-2548
(585) 275-7520
Mailing address
151 TIMBER CV APT D, WEBSTER, NY 14580-3100
(716) 548-1258
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN2299120
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
383057
NY
Other
Enumeration date
02/04/2016
Last updated
07/03/2023
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