Individual
MS. AMY M TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
564 NIAGARA ST, BUFFALO, NY 14201-1108
(716) 768-7700
(716) 768-7656
Mailing address
564 NIAGARA ST, BUFFALO, NY 14201-1108
(716) 768-7700
(716) 768-7656
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
420568
NY
363LW0102X
Women's Health Nurse Practitioner
4205681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560653001
BLUECROSS AND BLUESHIELD
NY
01
—
9512299
IHA
NY
Enumeration date
02/27/2007
Last updated
04/07/2025
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