Individual
CANDICE J BOTTICELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
418 3RD ST, SUITE 101, NIAGARA FALLS, NY 14301-1506
(716) 205-8708
(716) 299-0374
Mailing address
95 OLD CARRIAGE HOUSE RD, GRAND ISLAND, NY 14072-3212
(716) 773-6510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22579359
NY
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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