Individual
AMY RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ADMIRAL RD, BUFFALO, NY 14216-2510
(716) 245-5891
Mailing address
2316 DELAWARE AVE # 173, BUFFALO, NY 14216-2606
(716) 245-5891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019236
NY
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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