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Individual

AMY STORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
4535 SOUTHWESTERN BLVD, SUITE 801 AND 802, HAMBURG, NY 14075-1860
(716) 646-6075
Mailing address
5225 SHERIDAN DR, RIGHT UNIT, WILLIAMSVILLE, NY 14221-3573
(716) 626-2644
(716) 626-2660

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
11/28/2012
Last updated
01/18/2017
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