National Provider Identifier

Amy Jeanne Brueckner Amedure, DO

Amy Jeanne Brueckner Amedure, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ellicottville, NY and a listed phone number of (716) 699-9032.

NPI 1598744690Ellicottville, NYFamily Medicine Physician

Profile Overview

NPI
1598744690
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
January 17, 2006
Last Updated
January 22, 2020

Practice Location

  • 14 Bristol Ln
  • Ellicottville, NY 14731

Phone: (716) 699-9032

Mailing Address

  • 57 Woodland Ln
  • Palenville, NY 12463-2525

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1598744690
Entity Type
Individual
Last Name
Amedure
First Name
Amy
Middle Name
Jeanne Brueckner
Credential
DO
Mailing Street Address
57 Woodland Ln
Mailing City
Palenville
Mailing State
NY
Mailing ZIP Code
12463-2525
Mailing Country
US
Mailing Phone
(518) 542-4643
Practice Street Address
14 Bristol Ln
Practice City
Ellicottville
Practice State
NY
Practice ZIP Code
14731
Practice Country
US
Practice Phone
(716) 699-9032
Practice Fax
(716) 699-9035
Enumeration Date
January 17, 2006
Last Updated
January 22, 2020
Sex
Female
Sole Proprietor
No
Certification Date
January 22, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
02701077 (NY)