Provider Demographics
NPI:1770663387
Name:KAUFMAN, AMANDA E (GNP)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:E
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 N MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:14048-1203
Mailing Address - Country:US
Mailing Address - Phone:716-366-9522
Mailing Address - Fax:
Practice Address - Street 1:6060 ARMOR DUELLS RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-3126
Practice Address - Country:US
Practice Address - Phone:716-662-4433
Practice Address - Fax:716-662-6752
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340648-1363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology