Individual
AMANDA RUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1491 SHERIDAN DR STE 100, BUFFALO, NY 14217-1234
(716) 332-4476
Mailing address
1402 GLEN AVON RD, GRAND ISLAND, NY 14072-2202
(716) 906-9414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
683094
NY
363LF0000X
Family Nurse Practitioner
Primary
355357
NY
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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