Individual
AMANDA GYNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-7529
(716) 245-2300
Mailing address
199 PARK CLUB LN STE 500, WILLIAMSVILLE, NY 14221-5269
(716) 845-1300
(716) 322-3372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
683915
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F311231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07669065
—
NY
Enumeration date
10/14/2021
Last updated
04/27/2026
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