Individual provider · NPI-1

Dr. Clifford J Ameduri, M.D.

Physical Medicine & Rehabilitation · Rochester, NY

NPI number1114005360
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1114005360
Entity type
Individual (NPI-1)
Name
Dr. Clifford J Ameduri
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 2, 2006
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation134853-1NYYes
225400000X Rehabilitation Practitioner134853-1NY
2084P0800X Psychiatry & Neurology, Psychiatry134853-1NY

Practice location

400 Red Creek Dr
Ste 120
Rochester, NY 14623-4273

Phone 585-334-5560 · Fax 585-334-5581

Mailing address

400 Red Creek Dr
Ste 120
Rochester, NY 14623-4273

Phone 585-334-5560 · Fax 585-334-5581

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