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Individual

MRS. DANIELLE CASILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
3950 E ROBINSON RD, SUITE 207, WEST AMHERST, NY 14228-2041
(716) 564-1111
(716) 564-1128
Mailing address
1150 YOUNGS RD, SUITE 104, WILLIAMSVILLE, NY 14221
(716) 636-7990
(716) 636-7993

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
F307626
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F307626-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J400372417
MEDICARE
NY
Enumeration date
03/30/2016
Last updated
08/09/2017
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