Individual
AMANDA L WALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
3900 N BUFFALO ST, ORCHARD PARK, NY 14127-1842
(716) 656-4988
(716) 817-1719
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013291
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/16/2009
Last updated
12/14/2021
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