Organization
JOHNSON & AMABILE OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN ALYSE AMABILE O.D. (OPTOMETRIST)
(716) 822-1515
Entity
Organization
Contact information
Practice address
2064 SENECA ST, BUFFALO, NY 14210-2343
(716) 822-1515
(716) 393-3839
Mailing address
1 FOX TRCE, LANCASTER, NY 14086-3072
(716) 435-4010
(716) 393-3839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007401
NY
152W00000X
Optometrist
007656
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03531064
—
NY
Enumeration date
07/26/2012
Last updated
08/25/2021
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