National Provider Identifier

Amanda M Piazza

Amanda M Piazza is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Newark, NY and a listed phone number of (315) 331-2086.

NPI 1578827366Newark, NYEarly Intervention Provider Agency

Profile Overview

NPI
1578827366
Provider Type
Individual
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
June 27, 2012
Last Updated
June 27, 2012

Practice Location

  • 848 Peirson Ave
  • Newark, NY 14513-9762

Phone: (315) 331-2086

Mailing Address

  • 28 Golf Stream Dr
  • Penfield, NY 14526-2533

Specialties

  • Early Intervention Provider Agency (252Y00000X)
Full Record
NPI
1578827366
Entity Type
Individual
Last Name
Piazza
First Name
Amanda
Middle Name
M
Mailing Street Address
28 Golf Stream Dr
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-2533
Mailing Country
US
Mailing Phone
(585) 746-0068
Practice Street Address
848 Peirson Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-9762
Practice Country
US
Practice Phone
(315) 331-2086
Enumeration Date
June 27, 2012
Last Updated
June 27, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Early Intervention Provider Agency (252Y00000X)