Provider Demographics
NPI:1891028478
Name:HOLCOMB, AMY ELIZA (RPA-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZA
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1870 WINTON RD S STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-4011
Mailing Address - Country:US
Mailing Address - Phone:585-276-0830
Mailing Address - Fax:
Practice Address - Street 1:435 E HENRIETTA RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4629
Practice Address - Country:US
Practice Address - Phone:585-760-6500
Practice Address - Fax:585-760-6066
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2023-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY13499363A00000X
NY013499-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant