Individual
MRS. CHRISTINA M CAMPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
3085 HARLEM RD, SUITE 200, CHEEKTOWAGA, NY 14225-2591
(716) 844-5600
(716) 844-5050
Mailing address
3085 HARLEM RD, CHEEKTOWAGA, NY 14225-2591
(716) 844-5600
(716) 844-5750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012155
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028229501
UNIVERA
NY
01
—
000529829001
BCBS OF WNY
NY
05
—
01482255
—
NY
01
—
080122000011
FIDELIS
NY
01
—
9515038
IHA
NY
Enumeration date
10/10/2007
Last updated
08/13/2015
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