Individual
MISS CRYSTAL MARIE AMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3775 SOUTHWESTERN BLVD, SUITE A, ORCHARD PARK, NY 14127-2159
(718) 667-1980
(716) 667-1982
Mailing address
3775 SOUTHWESTERN BLVD, SUITE A, ORCHARD PARK, NY 14127-2159
(718) 667-1980
(716) 667-1982
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013311-1
NY
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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