Provider Demographics
NPI:1417046368
Name:KUROSKY, AMBER L (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:L
Last Name:KUROSKY
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 RANCH TRL
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2339
Mailing Address - Country:US
Mailing Address - Phone:607-226-0288
Mailing Address - Fax:
Practice Address - Street 1:6465 TRANSIT RD STE 28
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2232
Practice Address - Country:US
Practice Address - Phone:716-427-2034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076850R1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5477437 UPDOtherLMSW