Individual
LYNN AUDREY AMARANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5144 SHERIDAN DR, WILLIAMSVILLE, NY 14221-4648
(716) 632-2311
(716) 632-3140
Mailing address
5144 SHERIDAN DR, WILLIAMSVILLE, NY 14221-4648
(716) 632-2311
(716) 632-3140
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
177830-1
NY
207NP0225X
Pediatric Dermatology Physician
177830-1
NY
207NS0135X
Procedural Dermatology Physician
177830-1
NY
Other
Enumeration date
09/06/2005
Last updated
10/18/2011
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