National Provider Identifier

Amanda Elizabeth Didas, PA-C

Amanda Elizabeth Didas, PA-C is listed in the NPPES registry with a primary specialty of Pediatric Otolaryngology Physician in Rochester, NY and a listed phone number of (585) 758-5700.

NPI 1851558969Rochester, NYPediatric Otolaryngology Physician

Source: public NPPES record, last updated June 29, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1851558969
Provider Type
Individual
Primary Specialty
Pediatric Otolaryngology Physician
Enumeration Date
May 19, 2008
Last Updated
June 29, 2023

Practice Location

  • 125 Lattimore RD
  • Rochester, NY 14620-4159

Phone: (585) 758-5700

Mailing Address

  • 601 Elmwood Ave Box 629
  • Rochester, NY 14642-0001

Specialties

  • Pediatric Otolaryngology Physician (207YP0228X)
  • Pediatric Otolaryngology Physician (207YP0228X)

Endpoints

  • adidas113098@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

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Full Record
NPI
1851558969
Entity Type
Individual
Last Name
Didas
First Name
Amanda
Middle Name
Elizabeth
Name Prefix
Mrs.
Credential
PA-C
Provider Other Last Name
Coburn
Provider Other First Name
Amanda
Provider Other Middle Name
Elizabeth
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
601 Elmwood Ave Box 629
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 758-5700
Practice Street Address
125 Lattimore RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4159
Practice Country
US
Practice Phone
(585) 758-5700
Enumeration Date
May 19, 2008
Last Updated
June 29, 2023
Sex
Female
Sole Proprietor
No
Certification Date
February 15, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Otolaryngology Physician (207YP0228X), Pediatric Otolaryngology Physician (207YP0228X)