National Provider Identifier

Suzanne Wamp, P.A.

Suzanne Wamp, 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) 922-9080.

NPI 1336164300Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1336164300
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 12, 2006
Last Updated
May 06, 2021

Practice Location

  • 1425 Portland Ave
  • Mob 305
  • Rochester, NY 14621-3001

Phone: (585) 922-9080

Specialties

  • Medical Physician Assistant (363AM0700X)

Endpoints

  • swamp25075@direct.rochesterregional.org

    Direct Messaging Address | Rochester, NY 14621

Full Record
NPI
1336164300
Entity Type
Individual
Last Name
Wamp
First Name
Suzanne
Credential
P.A.
Mailing Street Address
1425 Portland Ave
Mailing Address Line 2
Mob 305
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3001
Mailing Country
US
Mailing Phone
(585) 922-9080
Practice Street Address
1425 Portland Ave
Practice Address Line 2
Mob 305
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3001
Practice Country
US
Practice Phone
(585) 922-9080
Enumeration Date
July 12, 2006
Last Updated
May 06, 2021
Sex
Female
Sole Proprietor
No
Certification Date
May 06, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)
Other Identifiers
02407096 (NY)