Healthcare Provider Details

I. General information

NPI: 1114182466
Provider Name (Legal Business Name): ANN CAMILLE ORLANDO PARKER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2008
Last Update Date: 07/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 HUNT CLUB CIR
EAST AMHERST NY
14051-1867
US

IV. Provider business mailing address

27 HUNT CLUB CIR
EAST AMHERST NY
14051-1867
US

V. Phone/Fax

Practice location:
  • Phone: 716-863-9809
  • Fax:
Mailing address:
  • Phone: 716-863-9809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number003604
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: