Healthcare Provider Details

I. General information

NPI: 1841716024
Provider Name (Legal Business Name): CONNIE S LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2017
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 EARHART DR STE 101
AMHERST NY
14221-7079
US

IV. Provider business mailing address

15 EARHART DR STE 101
AMHERST NY
14221-7079
US

V. Phone/Fax

Practice location:
  • Phone: 716-929-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number063207
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: