Individual
AMANDA MILITELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5782 MAIN ST STE 1, WILLIAMSVILLE, NY 14221-8219
(716) 833-9000
Mailing address
5782 MAIN ST STE 1, WILLIAMSVILLE, NY 14221-8219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322018
NY
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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