Individual
AMANDA PEARL PUGHAKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 FRENCH RD, CHEEKTOWAGA, NY 14227-3706
(716) 656-0173
Mailing address
1180 FRENCH RD, CHEEKTOWAGA, NY 14227-3706
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NY
NY
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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