MEDICARE: MS. AMY M TALLMAN CNP

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	363LW0102X	Women's Health Nurse Practitioner	4205681	NY
2	363L00000X	Nurse Practitioner	420568	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9512299	OTHER	NY	IHA
2	000560653001	OTHER	NY	BLUECROSS AND BLUESHIELD

General Provider Information

NPI Number	:	1528195617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY M TALLMAN CNP

Provider Business Mailing Address
First Line	:	564 NIAGARA ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14201-1108
Country	:	US
Telephone Number	:	716-768-7700
Fax Number	:	716-768-7656

Provider Business Practice Location Address
First Line	:	564 NIAGARA ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14201-1108
Country	:	US
Telephone Number	:	716-768-7700
Fax Number	:	716-768-7656

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

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	04/07/2025

Similar Medicare Providers

1578180188 — JENNIFER LYNN PRELL MSW
Practice Location Address:

564 NIAGARA ST BLDG 2
BUFFALO, NY
14201-1108

Practice Phone: 716-359-1550
Practice Fax:

1720046253 — DR. MICHAEL D AQUINO DPM
Practice Location Address:

564 NIAGARA ST
BUFFALO, NY
14201-1108

Practice Phone: 716-884-1325
Practice Fax: 716-837-0799

1861440711 — DR. RAUL VAZQUEZ M.D.
Practice Location Address:

564 NIAGARA ST
BUFFALO, NY
14201-1108

Practice Phone: 716-882-0366
Practice Fax: 716-884-8096

1407882632 — ALEXANDER STRACHAN JR. M.D.
Practice Location Address:

564 NIAGARA ST BLDG 2
BUFFALO, NY
14201-1108

Practice Phone: 844-401-4663
Practice Fax:

1326159237 — KIMBO B CHIA M. D., F . A . C. S.
Practice Location Address:

564 NIAGARA ST
BUFFALO, NY
14201-1108

Practice Phone: 716-332-0678
Practice Fax: 716-332-0679

1265594840 — MR. DANIEL ANTHONY FELLS RPA-C
Practice Location Address:

564 NIAGARA ST
BUFFALO, NY
14201-1108

Practice Phone: 716-882-0366
Practice Fax:

Directions to “ MS. AMY M TALLMAN CNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.