National Provider Identifier
Amen Imhotep Ptah
Amen Imhotep Ptah is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Rochester, NY and a listed phone number of (585) 436-3040.
Profile Overview
- NPI
- 1194505081
- Provider Type
- Individual
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- September 29, 2023
- Last Updated
- September 29, 2023
Practice Location
- 480 Genesee St
- Rochester, NY 14611-3634
Phone: (585) 436-3040
Mailing Address
- 54 Harper St Apt 1
- Rochester, NY 14607-3194
Specialties
- Marriage & Family Therapist (106H00000X)
Full Record
- NPI
- 1194505081
- Entity Type
- Individual
- Last Name
- Ptah
- First Name
- Amen
- Middle Name
- Imhotep
- Mailing Street Address
- 54 Harper St Apt 1
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-3194
- Mailing Country
- US
- Mailing Phone
- (585) 284-0424
- Practice Street Address
- 480 Genesee St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-3634
- Practice Country
- US
- Practice Phone
- (585) 436-3040
- Enumeration Date
- September 29, 2023
- Last Updated
- September 29, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 29, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Marriage & Family Therapist (106H00000X)