Individual provider · NPI-1

Stephanie Amdur-Clark, NP

Nurse Practitioner, Pediatrics · Rochester, NY

NPI number1851759872

StatusActive

Last updated in NPPESJul 3, 2023

Details

NPI: 1851759872
Entity type: Individual (NPI-1)
Name: Stephanie Amdur-Clark
Credential: NP
Sex: Female
Sole proprietor: No
Enumeration date: Feb 4, 2016
Last updated: Jul 3, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0200X	Nurse Practitioner, Pediatrics	383057	NY	Yes
163WH0200X	Registered Nurse, Home Health	RN2299120	MA

Practice location

601 Elmwood Ave
Rochester, NY 14642-2548

Phone 585-275-7520

Mailing address

151 Timber Cv Apt D
Webster, NY 14580-3100

Phone 716-548-1258

Other practice locations

196 Boston Tpke
Shrewsbury, MA 01545-2548

Phone 508-796-4706

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