National Provider Identifier
Amy Phan, MD
Amy Phan, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (857) 413-9921.
Profile Overview
- NPI
- 1447900857
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 28, 2022
- Last Updated
- March 28, 2022
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (857) 413-9921
Mailing Address
- 162 Rossiter RD
- Rochester, NY 14620-4128
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1447900857
- Entity Type
- Individual
- Last Name
- Phan
- First Name
- Amy
- Credential
- MD
- Mailing Street Address
- 162 Rossiter RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4128
- Mailing Country
- US
- Mailing Phone
- (857) 413-9921
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (857) 413-9921
- Enumeration Date
- March 28, 2022
- Last Updated
- March 28, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 28, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)