Individual
AMY BILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 MAIN ST, EAST AURORA, NY 14052-1750
(716) 687-2491
Mailing address
19 FARMVIEW CT, LANCASTER, NY 14086-9466
(716) 687-2491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01396327
—
NY
Enumeration date
09/17/2010
Last updated
09/17/2010
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