Individual
MRS. CONSTANCE M CAMPANELLA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2625 HARLEM RD, SUITE 240, CHEEKTOWAGA, NY 14225-4031
(716) 895-4400
(716) 892-5510
Mailing address
2625 HARLEM RD, SUITE 240, CHEEKTOWAGA, NY 14225-4031
(716) 895-4400
(716) 892-5510
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332665
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027248002
UNIVERA
NY
01
—
0002724801
UNIVERA
NY
01
—
000560990001
BLUE SHIELD OF WNY
NY
05
—
02730683
—
NY
01
—
9512859
INDEPENDENT HEALTH
NY
Enumeration date
03/31/2006
Last updated
07/08/2007
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