Individual provider · Type 1 NPI

Colleen M. Vaccaro, PA

Physician Assistant · North Tonawanda, NY

NPI number 1801987284 Active

Practice location

605 Division St Ste 1
North Tonawanda, NY 14120-4486

Fax (315) 378-4210

Mailing address

5823 Widewaters Pkwy
East Syracuse, NY 13057-3084

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X009428-1 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1801987284

Colleen M. Vaccaro, PA's National Provider Identifier is 1801987284, issued on Sep 28, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in North Tonawanda, NY. The record was last updated on Oct 14, 2026.