Basic Information
| Provider Information | |||||||||
| NPI: | 1629386321 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SEIFERT | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | MS RN ANP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | CHMIELEWSKI | ||||||||
| OtherFirstName: | AMY | ||||||||
| OtherMiddleName: | L | ||||||||
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| OtherCredential: | RN | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1445 PORTLAND AVE | ||||||||
| Address2: | VASCULAR SURGERY ASSOCIATES SUITE 108 | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146213036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5859225550 | ||||||||
| FaxNumber: | 5859225559 | ||||||||
| Practice Location | |||||||||
| Address1: | 1445 PORTLAND AVE | ||||||||
| Address2: | VASCULAR SURGERY ASSOCIATES SUITE 108 | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146213036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5859225550 | ||||||||
| FaxNumber: | 5859225559 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2010 | ||||||||
| LastUpdateDate: | 09/16/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 305453 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.