Healthcare Provider Details

I. General information

NPI: 1245661974
Provider Name (Legal Business Name): AIMEE SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2013
Last Update Date: 12/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7264 NASH RD
NORTH TONAWANDA NY
14120-1508
US

IV. Provider business mailing address

215 CROSBY BLVD
AMHERST NY
14226-3331
US

V. Phone/Fax

Practice location:
  • Phone: 716-694-7700
  • Fax:
Mailing address:
  • Phone: 716-982-2305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number037059-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: