Individual
MADONNA ADYMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
19 HOPKINS RD, BUFFALO, NY 14221-4641
(716) 539-5255
Mailing address
19 HOPKINS RD, BUFFALO, NY 14221-4641
(716) 539-5255
(716) 559-1574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002057
NY
101Y00000X
Counselor
19-210
NY
Other
Enumeration date
03/31/2015
Last updated
06/21/2022
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