Individual
AMANDA B MALIPHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
987 R C HOAG DR, SALAMANCA, NY 14779-1365
(716) 945-5894
(716) 242-6345
Mailing address
987 R C HOAG DR, SALAMANCA, NY 14779-1365
(716) 945-5894
(716) 242-6345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
306386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06164209
—
NY
01
—
240419000082
FIDELIS - LRJ
NY
01
—
240626000129
FIDELIS - CIR
NY
Enumeration date
06/27/2017
Last updated
04/21/2025
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