Healthcare Provider Details

I. General information

NPI: 1972411676
Provider Name (Legal Business Name): SALIA HUDSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3980 SHERIDAN DR
AMHERST NY
14226-1726
US

IV. Provider business mailing address

21 PENNY LN
AMHERST NY
14228-3759
US

V. Phone/Fax

Practice location:
  • Phone: 716-250-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF346343-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: