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NPI Code Detail

MEDICARE: AMY SUSAN PATTERSON RN

MEDICARE: AMY SUSAN PATTERSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered Nurse487991-1NY
2163W00000XRegistered Nurse487991NY

General Provider Information

NPI Number : 1053487645
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY SUSAN PATTERSON RN
Provider Business Mailing Address
First Line : 6668 MILESTRIP RD
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-1610
Country : US
Telephone Number : 716-662-3368
Fax Number :
Provider Business Practice Location Address
First Line : 1183 MONROE AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-1662
Country : US
Telephone Number : 716-261-6152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 07/31/2025

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