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Individual

AMANDA KUJAWINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2128 ELMWOOD AVE, BUFFALO, NY 14207-1910
(716) 874-4500
Mailing address
2128 ELMWOOD AVE, BUFFALO, NY 14207-1910
(716) 874-4500

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020070-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01465154
NY
Enumeration date
03/18/2016
Last updated
03/13/2018
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