Individual
AMANDA B BENZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1025 RIDGE RD, LACKAWANNA, NY 14218-1755
(716) 822-4781
(716) 825-5765
Mailing address
1025 RIDGE RD, LACKAWANNA, NY 14218-1755
(716) 822-4781
(716) 825-5765
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015167-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02636395
—
NY
Enumeration date
08/17/2007
Last updated
08/17/2007
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