Individual
ELENA KALABUSHKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4979 HARLEM RD, AMHERST, NY 14226-2547
(716) 923-4380
Mailing address
4979 HARLEM RD, AMHERST, NY 14226-2547
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
346360
NY
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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