Provider Demographics
NPI:1932267721
Name:REALBUTO, AMY BETH (NP)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:BETH
Last Name:REALBUTO
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Gender:F
Credentials:NP
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Mailing Address - Street 1:451 E HENRIETTA RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4629
Mailing Address - Country:US
Mailing Address - Phone:585-753-5927
Mailing Address - Fax:585-753-5181
Practice Address - Street 1:451 E HENRIETTA RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4629
Practice Address - Country:US
Practice Address - Phone:585-753-5927
Practice Address - Fax:585-753-5181
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2023-07-06
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Provider Licenses
StateLicense IDTaxonomies
NY507387363LP0200X
NY381838363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics