Individual
AMANDA FUNICIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 NIAGARA ST, BUFFALO, NY 14213-2001
(716) 710-4393
Mailing address
4380 MAIN ST, AMHERST, NY 14226-3544
(800) 462-7652
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
05/17/2026
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