AMANDA AGNES IRVINE

ROCHESTER, NY
NPI1134774003
Former NameAMANDA AGNES TAILLON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY  383047)
Enumeration Date2019-08-07
Last Update Date2020-08-14
Business Address
AMANDA AGNES IRVINE NP
1455 E RIDGE RD
ROCHESTER, NY 14621-2006
Phone number: 585-922-2575
Mailing Address
AMANDA AGNES IRVINE NP
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-2575
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