National Provider Identifier
Amanda Lynn Baldauf, PA
Amanda Lynn Baldauf, 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) 922-3475.
Profile Overview
- NPI
- 1265959613
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- August 26, 2017
- Last Updated
- July 17, 2023
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-3475
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
Endpoints
- aholloway112693@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
- aholloway187325@direct.rochesterregional.org
Direct Messaging Address | Direct | Rochester, NY 14621
Full Record
- NPI
- 1265959613
- Entity Type
- Individual
- Last Name
- Baldauf
- First Name
- Amanda
- Middle Name
- Lynn
- Credential
- PA
- Provider Other Last Name
- Holloway
- Provider Other First Name
- Amanda
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-3475
- Enumeration Date
- August 26, 2017
- Last Updated
- July 17, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 23, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)