Healthcare Provider Details

I. General information

NPI: 1235687823
Provider Name (Legal Business Name): AMY SAGLIBENE-PARMELEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2016
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 PORTLAND AVE
ROCHESTER NY
14621-3001
US

IV. Provider business mailing address

67 REDTAIL RUN
ROCHESTER NY
14612-3369
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-5277
  • Fax:
Mailing address:
  • Phone: 585-922-5277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number466009
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: