Individual
MRS. AMANDA GRANDITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 PACKARD RD, NIAGARA FALLS, NY 14303-2236
(716) 285-8070
(716) 285-8070
Mailing address
3900 PACKARD RD, NIAGARA FALLS, NY 14303-2236
(716) 285-8070
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-1871
NY
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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