Individual
AMANDA CHRISTINE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3414
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308654-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F308654-1
NY STATE NP LICENSE NUMBER
NY
Enumeration date
03/24/2018
Last updated
04/10/2018
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