Provider Demographics
NPI:1124165824
Name:ORDIWAY, AMY R (NP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:R
Last Name:ORDIWAY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:3041 ORCHARD PARK RD
Mailing Address - Street 2:STE C
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1238
Mailing Address - Country:US
Mailing Address - Phone:716-674-3104
Mailing Address - Fax:716-674-0666
Practice Address - Street 1:21 PORTER AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-6247
Practice Address - Country:US
Practice Address - Phone:716-664-1909
Practice Address - Fax:716-664-2214
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2025-06-16
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Provider Licenses
StateLicense IDTaxonomies
NY356733363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP89220Medicare UPIN