Healthcare Provider Details

I. General information

NPI: 1639003536
Provider Name (Legal Business Name): EMILY LEATRICE CIRINCIONE PRAWEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 WILSON RD
AMHERST NY
14221-7026
US

IV. Provider business mailing address

69 ARDEN AVE UPPR
BUFFALO NY
14215-3311
US

V. Phone/Fax

Practice location:
  • Phone: 833-272-3743
  • Fax: 716-833-2288
Mailing address:
  • Phone: 716-713-5025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: