Individual
AMANDA LYNN ZAGST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2227
Mailing address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2444
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
630346
NY
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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