Healthcare Provider Details

I. General information

NPI: 1073398996
Provider Name (Legal Business Name): KRISTEN WOJTASZEK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 JOHN JAMES AUDUBON PKWY STE 110
AMHERST NY
14228-1143
US

IV. Provider business mailing address

501 JOHN JAMES AUDUBON PKWY STE 110
AMHERST NY
14228-1143
US

V. Phone/Fax

Practice location:
  • Phone: 716-202-8877
  • Fax: 716-463-2226
Mailing address:
  • Phone: 716-202-8877
  • Fax: 716-463-2226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: