National Provider Identifier

Amanda Procaccini, PA-C

Amanda Procaccini, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.

NPI 1215774393Rochester, NYMedical Physician Assistant

Source: public NPPES record, last updated September 11, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1215774393
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 15, 2024
Last Updated
September 11, 2024

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3011

Phone: (585) 922-4000

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Medical Physician Assistant (363AM0700X)

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Full Record
NPI
1215774393
Entity Type
Individual
Last Name
Procaccini
First Name
Amanda
Credential
PA-C
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3011
Practice Country
US
Practice Phone
(585) 922-4000
Enumeration Date
July 15, 2024
Last Updated
September 11, 2024
Sex
Female
Sole Proprietor
No
Certification Date
September 11, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)