AMY DESANTIS


Address: 9 Merrydale Drive, Rochester, NY 14624
Phone: 5853305597

AMY DESANTIS (NPI# 1053749614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053749614
Entity Type Individual
Full Name AMY DESANTIS
Credential PA
Practice Address 9 Merrydale Drive
Rochester
NY 14624
Mailing Address 9 Merrydale Dr
Rochester
NY 14624-2915
Practice Telephone 5853305597
Mailing Telephone 5853305597
Enumeration Date 2013-10-17
Last Update Date 2013-10-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
017082-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9 MERRYDALE DRIVE
City ROCHESTER
State NY
Zip Code 14624

Providers in the same zip code

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1770091852 Brittany Richards Case Manager/Care Coordinator 1860 Buffalo Road, Rochester, NY 14624 2018-01-11
1912431123 Ashley Marie Mooney Dentist 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 2017-04-13
1396195079 State of New York Comptrollers Office Clinic/Center 40 Bermar St, Rochester, NY 14624 2016-06-14
1134520729 Karleigh J Sharp Physician Assistant 1160 Chili Ave., Suite 200, Rochester, NY 14624 2014-09-15
1174945398 Lorraine Clarissa Bryan Licensed Practical Nurse 2 Hinkley Lane, Gates, NY 14624 2014-01-07
1700212388 Monique Shiree Lawrence Licensed Practical Nurse 103 Norway Spruce Drive, Rochester, NY 14624 2013-09-16
1497019921 Emily Lengen Specialist 6 Alderbrook Trail, Rochester, NY 14624 2012-06-29
1902160658 Annfurly G Beverly Registered Nurse 1600 Wind Willow Way, Blueberry Hill Apt # 9, Rochester, NY 14624 2012-06-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194340505 Kayleigh Marie Tourt Physician Assistant 222 Alexander St Fl 4, Rochester, NY 14607-4039 2020-06-11
1659923704 Colin J Montgomery Physician Assistant 2400 S Clinton Ave Bldg G2nd, Rochester, NY 14618-2668 2019-07-09
1184183592 Jera Delibashi Physician Assistant 89 Genesee St Fl 3, Rochester, NY 14611-3201 2019-03-15
1255808309 Lauren Leigh D'hont Physician Assistant 400 White Spruce Blvd Ste A, Rochester, NY 14623-1619 2018-10-26
1124547823 Lucas Polito Physician Assistant 1724 East Ridge Road, Rochester, NY 14622 2017-09-13
1629523956 Reggie Testa Cayetano Physician Assistant 601 Elmwood Ave Box 619-13, Rochester, NY 14642-0001 2016-08-16
1891248373 Padma Priya Rathina Sabapathy Physician Assistant 1561 Long Pond Rd Ste 302, Rochester, NY 14626-4135 2016-08-01
1821407669 Amy C Dvorak Physician Assistant 1425 Portland Ave # 306, Rochester, NY 14621-3001 2014-08-06
1154741742 Amanda Buckner Physician Assistant 158 Sawgrass Dr, Floor 2, Rochester, NY 14620-4648 2014-04-22
1760764682 Casia Joyce Whitney Physician Assistant 300 White Spruce Blvd Ste 200, Rochester, NY 14623-1606 2011-09-16
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Competitor

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City ROCHESTER
Zip Code 14624

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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