National Provider Identifier
Amy Lynn Peterson
Amy Lynn Peterson is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Lake View, NY and a listed phone number of (716) 646-5500.
Profile Overview
- NPI
- 1700390754
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- November 29, 2017
- Last Updated
- November 29, 2017
Practice Location
- 2816 Pleasant Ave
- Lake View, NY 14085-9624
Phone: (716) 646-5500
Mailing Address
- 837 Sun Valley Dr
- North Tonawanda, NY 14120-1923
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1700390754
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Amy
- Middle Name
- Lynn
- Mailing Street Address
- 837 Sun Valley Dr
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-1923
- Mailing Country
- US
- Mailing Phone
- (716) 715-7403
- Practice Street Address
- 2816 Pleasant Ave
- Practice City
- Lake View
- Practice State
- NY
- Practice ZIP Code
- 14085-9624
- Practice Country
- US
- Practice Phone
- (716) 646-5500
- Enumeration Date
- November 29, 2017
- Last Updated
- November 29, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)