Individual
AMY BRUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
107 E RIVERSIDE DR, OLEAN, NY 14760-3907
(716) 307-7002
Mailing address
107 E RIVERSIDE DR, OLEAN, NY 14760-3907
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20751
DEPARTMENT OF HEALTH
NY
Enumeration date
06/29/2012
Last updated
06/29/2012
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