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NPI Code Detail

MEDICARE: AMBER LYNN BRINK

MEDICARE: AMBER LYNN BRINK
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1790649309
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER LYNN BRINK
Provider Business Mailing Address
First Line : 55 DODGE RD
Second Line :
City : GETZVILLE
State : NY
Zip : 14068-1205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 637 DAVISON RD
Second Line :
City : LOCKPORT
State : NY
Zip : 14094-5339
Country : US
Telephone Number : 716-433-2484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ AMBER LYNN BRINK ” Practice Location

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