Organization
ACACIA FAMILY HEALTH NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J OSTOLSKI NP (PRESIDENT)
(716) 514-9355
Entity
Organization
Contact information
Practice address
702 DAVISON RD, LOCKPORT, NY 14094-5371
(716) 514-9355
Mailing address
702 DAVISON RD, LOCKPORT, NY 14094-5371
(716) 514-9355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F3316771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0331797
—
NY
Enumeration date
10/22/2010
Last updated
01/23/2013
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