Provider Demographics
NPI:1629386321
Name:SEIFERT, AMY L (MS RN ANP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:SEIFERT
Suffix:
Gender:F
Credentials:MS RN ANP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:CHMIELEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1445 PORTLAND AVE
Mailing Address - Street 2:VASCULAR SURGERY ASSOCIATES SUITE 108
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-3036
Mailing Address - Country:US
Mailing Address - Phone:585-922-5550
Mailing Address - Fax:585-922-5559
Practice Address - Street 1:1445 PORTLAND AVE
Practice Address - Street 2:VASCULAR SURGERY ASSOCIATES SUITE 108
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3036
Practice Address - Country:US
Practice Address - Phone:585-922-5550
Practice Address - Fax:585-922-5559
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305453363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health