MEDICARE: MS. AMBER L. KUROSKY LCSW-R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	076850R	NY

General Provider Information

NPI Number	:	1417046368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMBER L. KUROSKY LCSW-R

Provider Business Mailing Address
First Line	:	239 RANCH TRL
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-2339
Country	:	US
Telephone Number	:	607-226-0288
Fax Number	:

Provider Business Practice Location Address
First Line	:	6465 TRANSIT RD STE 28
Second Line	:
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-2232
Country	:	US
Telephone Number	:	716-427-2034
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	08/30/2021

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