Basic Information
| Provider Information | |||||||||
| NPI: | 1770663387 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAUFMAN | ||||||||
| FirstName: | AMANDA | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | G.N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 77 N MARTIN ST | ||||||||
| Address2: | |||||||||
| City: | DUNKIRK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 140481203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7163669522 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6060 ARMOR DUELLS RD | ||||||||
| Address2: | |||||||||
| City: | ORCHARD PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 141273126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166624433 | ||||||||
| FaxNumber: | 7166626752 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LG0600X | F340648-1 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.