Individual
MALLORY FURNISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3950 E ROBINSON RD STE 207, WEST AMHERST, NY 14228-2044
(716) 564-1111
(716) 929-0194
Mailing address
1150 YOUNGS RD STE 104, WILLIAMSVILLE, NY 14221-8096
(716) 636-7990
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
F346878
NY
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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