National Provider Identifier
Amanda Buckner, P.A.
Amanda Buckner, P.A. is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 275-2838.
Profile Overview
- NPI
- 1154741742
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- April 22, 2014
- Last Updated
- June 29, 2023
Practice Location
- 158 Sawgrass Dr
- Floor 2
- Rochester, NY 14620-4648
Phone: (585) 275-2838
Mailing Address
- 601 Elmwood Ave - Box 656
- Rochester, NY 14642-0001
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1154741742
- Entity Type
- Individual
- Last Name
- Buckner
- First Name
- Amanda
- Credential
- P.A.
- Mailing Street Address
- 601 Elmwood Ave - Box 656
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 158 Sawgrass Dr
- Practice Address Line 2
- Floor 2
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4648
- Practice Country
- US
- Practice Phone
- (585) 275-2838
- Practice Fax
- (585) 756-5457
- Enumeration Date
- April 22, 2014
- Last Updated
- June 29, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 26, 2020
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 04428075 (NY)