Individual
AMANDAJOE SULLIVAN NOWADLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 E NORTH ST, BUFFALO, NY 14203-1002
(716) 885-8318
Mailing address
467 W DELAVAN AVE, UPPER, BUFFALO, NY 14213-1414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025165
NY
Other
Enumeration date
10/20/2015
Last updated
01/05/2016
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