National Provider Identifier
Amanda L Walczak, RPA
Amanda L Walczak, RPA is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 656-4988.
Profile Overview
- NPI
- 1386871572
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 16, 2009
- Last Updated
- December 14, 2021
Practice Location
- 3900 N Buffalo St
- Orchard Park, NY 14127-1842
Phone: (716) 656-4988
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Orchard Park, NY 14127
Full Record
- NPI
- 1386871572
- Entity Type
- Individual
- Last Name
- Walczak
- First Name
- Amanda
- Middle Name
- L
- Credential
- RPA
- Provider Other Last Name
- Kulczyk
- Provider Other First Name
- Amanda
- Provider Other Middle Name
- L
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 3900 N Buffalo St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1842
- Practice Country
- US
- Practice Phone
- (716) 656-4988
- Practice Fax
- (716) 817-1719
- Enumeration Date
- June 16, 2009
- Last Updated
- December 14, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)