Individual
AMANDA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 TURNER AVE, BUFFALO, NY 14220-2837
(716) 912-3313
(716) 912-3313
Mailing address
87 TURNER AVE, BUFFALO, NY 14220-2837
(716) 912-3313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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