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Individual

DR. KRISTIN ALYSE AMABILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2064 SENECA ST, BUFFALO, NY 14210-2343
(716) 822-1515
(716) 393-3839
Mailing address
1 FOX TRCE, LANCASTER, NY 14086-3072
(716) 435-4010
(716) 393-3839

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007401
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03122534
NY
Enumeration date
06/25/2009
Last updated
01/03/2014
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