National Provider Identifier
Amy Marie Severson, MD
Amy Marie Severson, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Williamsville, NY and a listed phone number of (716) 204-0707.
Profile Overview
- NPI
- 1538102850
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- June 14, 2006
- Last Updated
- April 11, 2018
Practice Location
- 5430 Main St
- Egea Medical Weight Loss Center
- Williamsville, NY 14221-6648
Phone: (716) 204-0707
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1538102850
- Entity Type
- Individual
- Last Name
- Severson
- First Name
- Amy
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- MD
- Mailing Street Address
- 5430 Main St
- Mailing Address Line 2
- Egea Medical Weight Loss Center
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-6648
- Mailing Country
- US
- Mailing Phone
- (716) 204-0707
- Practice Street Address
- 5430 Main St
- Practice Address Line 2
- Egea Medical Weight Loss Center
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-6648
- Practice Country
- US
- Practice Phone
- (716) 204-0707
- Enumeration Date
- June 14, 2006
- Last Updated
- April 11, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 02504814 (NY)