National Provider Identifier

Amy Desantis, PA

Amy Desantis, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 330-5597.

NPI 1053749614Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1053749614
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
October 17, 2013
Last Updated
October 17, 2013

Practice Location

  • 9 Merrydale Drive
  • Rochester, NY 14624

Phone: (585) 330-5597

Mailing Address

  • 9 Merrydale Dr
  • Rochester, NY 14624-2915

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1053749614
Entity Type
Individual
Last Name
Desantis
First Name
Amy
Credential
PA
Mailing Street Address
9 Merrydale Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-2915
Mailing Country
US
Mailing Phone
(585) 330-5597
Practice Street Address
9 Merrydale Drive
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624
Practice Country
US
Practice Phone
(585) 330-5597
Enumeration Date
October 17, 2013
Last Updated
October 17, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)