Individual
AMBER MARIE VILLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5965 TRANSIT RD, EAST AMHERST, NY 14051-1874
(716) 428-5545
Mailing address
PO BOX 500, ELLICOTTVILLE, NY 14731-0500
(716) 699-9032
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026802
NY
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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