Individual
AMANDA M PIAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
Mailing address
28 GOLF STREAM DR, PENFIELD, NY 14526-2533
(585) 746-0068
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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