National Provider Identifier
Amy B Internicola, LICENSED OPTICIAN
Amy B Internicola, LICENSED OPTICIAN is listed in the NPPES registry with a primary specialty of Contact Lens Fitter in Tonawanda, NY and a listed phone number of (716) 836-8700.
Profile Overview
- NPI
- 1700099785
- Provider Type
- Individual
- Primary Specialty
- Contact Lens Fitter
- Enumeration Date
- May 07, 2007
- Last Updated
- July 08, 2007
Practice Location
- 2441 Sheridan Dr
- Tonawanda, NY 14150-9405
Phone: (716) 836-8700
Specialties
- Contact Lens Fitter (156FC0801X)
Full Record
- NPI
- 1700099785
- Entity Type
- Individual
- Last Name
- Internicola
- First Name
- Amy
- Middle Name
- B
- Name Prefix
- Mrs.
- Credential
- LICENSED OPTICIAN
- Mailing Street Address
- 2441 Sheridan Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-9405
- Mailing Country
- US
- Mailing Phone
- (716) 836-8700
- Mailing Fax
- (716) 836-3549
- Practice Street Address
- 2441 Sheridan Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-9405
- Practice Country
- US
- Practice Phone
- (716) 836-8700
- Practice Fax
- (716) 836-3549
- Enumeration Date
- May 07, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Contact Lens Fitter (156FC0801X)
- Other Identifiers
- C005694-1 (NY, Licensed Optician)