Individual provider · Type 1 NPI

Christine Marie Micciariello, PHYSICIAN ASSISTANT

Medical Physician Assistant · Williamsville, NY

NPI number 1699896001 Active

Practice location

325 Essjay Rd
Williamsville, NY 14221-8243

Call (716) 631-2517 Map

Fax (716) 634-5650

Mailing address

425 Essjay Rd Ste 170
Williamsville, NY 14221-8235

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X007098-1 (NY)
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1699896001

Christine Marie Micciariello, PHYSICIAN ASSISTANT's National Provider Identifier is 1699896001, issued on Apr 3, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Williamsville, NY. The record was last updated on Dec 6, 2021.