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Individual

MRS. AMY L AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2545 SHERIDAN DR, TONAWANDA, NY 14150-9478
(716) 833-4884
Mailing address
65 CHELTENHAM DR, BUFFALO, NY 14216-2227
(716) 877-3758

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174400000X
NY
Enumeration date
07/13/2012
Last updated
07/13/2012
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