Individual
AMY MARIE STALICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 WALDEN AVE, CHEEKTOWAGA, NY 14225-4757
(716) 683-5202
Mailing address
50 S FISHER RD APT C5, WEST SENECA, NY 14218-3613
(716) 512-4650
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
280409-1
NY
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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