AMY KNICKERBOCKER


Address: 224 Alexander St Ste 220, Rochester, NY 14607
Phone: 5859228400

AMY KNICKERBOCKER (NPI# 1194209031) 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) 1194209031
Entity Type Individual
Full Name AMY KNICKERBOCKER
Practice Address 224 Alexander St Ste 220
Rochester
NY 14607
Mailing Address 100 Kings Hwy S
Rochester
NY 14617-5504
Practice Telephone 5859228400
Practice Fax Number 5859228405
Mailing Telephone 5859220553
Enumeration Date 2018-09-17
Last Update Date 2019-02-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
343598 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
33 Wilbur Blvd, Poughkeepsie, NY 126033407 8455185225

Other Providers AMY KNICKERBOCKER

NPI Name Taxonomy Address Enumeration
1578517306 Amy Joanne Knickerbocker Optometrist 3650 Stardust Drive, Hannibal, MO 63401 2006-05-19

Office Location

Street Address 224 ALEXANDER ST STE 220
City ROCHESTER
State NY
Zip Code 14607

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245862333 Zachery Mcatee Pharmacist 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 2020-02-07
1184274920 Rhodette Gayhart Technician 70 Edmonds St., Apt. 2, Rochester, NY 14607 2019-09-13
1366948424 Monekia Michelle Moore Peer Specialist 320 North Goodman Street, Rochester, NY 14607 2018-04-05
1386160414 Meghan Grant Physical Therapist 26 Harper Street, Rochester, NY 14607 2017-08-21
1548793722 Burd Home Health LLC In Home Supportive Care 274 N Goodman St Ste A403, Rochester, NY 14607 2017-04-05
1154718799 Azadeh Shahryarinejad Social Worker 16 North Goodman Street, Rochester, NY 14607 2015-04-21
1386086957 Robert M Kerper Md, Pllc Internal Medicine 26 South Goodman Street, Rochester, NY 14607 2013-07-24
1275978058 Sarah Lynn Fisher Speech-Language Pathologist Leap for Kids Ot, Pt & Slp, 372 N. Goodman St., Rochester, NY 14607 2013-05-07
1639410350 Jonell Mae Belcher Social Worker 235 Alexander St Ste 4, Rochester, NY 14607 2013-03-05
1730438045 Maeling Wong Occupational Therapist 195 Meigs Street, Apartment 2, Rochester, NY 14607 2012-08-31
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1861091704 Morgan Rohl Nurse Practitioner 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 2020-10-21
1073111738 Melissa E Spencer Nurse Practitioner 1338 E Ridge Rd Ste 101, Rochester, NY 14621-2017 2020-10-15
1295345254 Kristin Colleen Fleming Nurse Practitioner 400 Red Creek Dr Ste 110, Rochester, NY 14623-4273 2020-08-05
1043820251 Michelle Katherine Hiczun Nurse Practitioner 20 Hagen Dr Ste 330, Rochester, NY 14625-2664 2020-08-03
1689296949 Suzanne Lee Bundrick Nurse Practitioner 1921 Westwood Ct Sw, Rochester, MN 55902-1170 2020-05-09
1649818931 Erin Elizabeth Akins Nurse Practitioner 1882 Winton Rd S Ste 3, Rochester, NY 14618-3950 2019-12-17
1912544107 Bethany Anderson Ganz Nurse Practitioner 115 16th Ave Nw, Rochester, MN 55901-0347 2019-12-06
1164068383 Christina Kosachook Nurse Practitioner 990 South Ave Ste 104, Rochester, NY 14620-2740 2019-11-22
1073159679 Avellina Ihuaku Okafor Nurse Practitioner 1328 Ridgeway Ave, Rochester, NY 14615-3716 2019-11-19
1053961409 Melissa Guu-shyuan Feng Nurse Practitioner 995 Senator Keating Blvd Ste 3100, Rochester, NY 14618-2778 2019-09-18
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Competitor

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City ROCHESTER
Zip Code 14607

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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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