Individual
MRS. BRIANA MARIE HURTGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
55 KINGS HWY, AMHERST, NY 14226-4330
(716) 362-3000
Mailing address
757 LINCOLN AVE, LOCKPORT, NY 14094-6153
(716) 799-7529
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
008162-1
NY
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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