Provider Demographics
NPI:1770621229
Name:ST.AMANT, THOMAS WILLIAM (RPA-C)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:WILLIAM
Last Name:ST.AMANT
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Gender:M
Credentials:RPA-C
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Mailing Address - Street 1:1160 CHILI AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-3035
Mailing Address - Country:US
Mailing Address - Phone:585-426-4990
Mailing Address - Fax:585-426-4997
Practice Address - Street 1:1160 CHILI AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-3035
Practice Address - Country:US
Practice Address - Phone:585-426-4990
Practice Address - Fax:585-426-4997
Is Sole Proprietor?:No
Enumeration Date:2007-02-04
Last Update Date:2013-04-30
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Provider Licenses
StateLicense IDTaxonomies
NY004106363AM0700X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant