Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 020696 | NY |
NPI | 1851558969 |
---|---|
Provider Name | Mrs. Amanda Elizabeth Didas |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14620-4159 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 15/02/2021 |