Individual
LISA MARIE KALINKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4979 HARLEM RD, AMHERST, NY 14226-2547
(716) 923-4380
(716) 923-4384
Mailing address
4979 HARLEM RD, AMHERST, NY 14226-2547
(716) 923-4380
(716) 923-4384
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
304574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000529056002
BC/BS WNY
NY
01
—
000529056003
BC/BS
NY
05
—
02862568
—
NY
01
—
080725000013
FIDELISCARE
NY
01
—
9514160
INDEPENDENT HEALTH
NY
Enumeration date
02/05/2007
Last updated
05/20/2013
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