Individual
MRS. MARY CATHERINE SPERDUTI CERRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
60 INNSBRUCK DR, CHEEKTOWAGA, NY 14227-2735
(716) 668-7051
(716) 668-7069
Mailing address
3262 KENDRICK PL, HAMBURG, NY 14075-3656
(716) 646-6454
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303205
STATE LICENSE NUMBER
NY
Enumeration date
05/01/2006
Last updated
03/07/2023
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