Individual provider · Type 1 NPI

Amanda Buckner, P.A.

Medical Physician Assistant · Rochester, NY

NPI number 1154741742 Active

Practice location

158 Sawgrass Dr, Floor 2
Rochester, NY 14620-4648

Fax (585) 756-5457

Mailing address

601 Elmwood Ave - Box 656
Rochester, NY 14642-0001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XC0005391 (MD)
Medical Physician Assistant 363AM0700X004019 (OH)
Medical Physician Assistant 363AM0700X19177 (NY)
Medical Physician Assistant Primary 363AM0700X019177 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1154741742

Amanda Buckner, P.A.'s National Provider Identifier is 1154741742, issued on Apr 22, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jun 29, 2023.