Provider Demographics
NPI:1962724088
Name:RICHES, AMNA P (DC)
Entity type:Individual
Prefix:DR
First Name:AMNA
Middle Name:P
Last Name:RICHES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5854 SNYDER DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094
Mailing Address - Country:US
Mailing Address - Phone:716-434-1780
Mailing Address - Fax:716-434-3868
Practice Address - Street 1:5854 SNYDER DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094
Practice Address - Country:US
Practice Address - Phone:716-434-1780
Practice Address - Fax:716-434-3868
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor