Individual
MARIJANE COTRONEO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
4041 DELAWARE AVENUE, TONAWANDA, NY 14150
(716) 876-5512
(716) 876-7342
Mailing address
4041 DELAWARE AVENUE, TONAWANDA, NY 14150
(716) 876-5512
(716) 876-7342
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F4202491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560138004
BCBS
—
01
—
0086173
GHI
—
01
—
156780CK
PREFERRED CARE
—
01
—
9511748
INDEPENDENT HEALTH
—
01
—
F4206491
NYS LICENSE
—
Enumeration date
05/18/2006
Last updated
03/07/2023
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