Provider Demographics
NPI:1679992259
Name:SMITH, AMORETTE B (DC MS)
Entity Type:Individual
Prefix:DR
First Name:AMORETTE
Middle Name:B
Last Name:SMITH
Suffix:
Gender:F
Credentials:DC MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 WESTFALL RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3118
Mailing Address - Country:US
Mailing Address - Phone:218-979-1595
Mailing Address - Fax:
Practice Address - Street 1:1641 EAST AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14610-1604
Practice Address - Country:US
Practice Address - Phone:585-473-7746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012515111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor