Individual
MISS AMY MARIE EHRHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
42 WARSAW ST, DEPEW, NY 14043-3916
(716) 348-7434
Mailing address
400 EXCHANGE ST, ALDEN, NY 14004-9309
(716) 348-7434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021191-1
NY
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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