Healthcare Provider Details

I. General information

NPI: 1609179068
Provider Name (Legal Business Name): AMY LYNN ZAPRZAL MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2010
Last Update Date: 12/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 GENESEE ST
BOWMANSVILLE NY
14026-1044
US

IV. Provider business mailing address

5360 GENESEE ST
BOWMANSVILLE NY
14026-1044
US

V. Phone/Fax

Practice location:
  • Phone: 716-783-3142
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number079196
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: