Individual
BETHANN NICOSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2309 EGGERT RD, TONAWANDA, NY 14150-9200
(716) 831-1856
(716) 831-0263
Mailing address
227 THORN AVE, PO BOX 631, ORCHARD PARK, NY 14127-2600
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
770949
NY
Other
Enumeration date
11/04/2013
Last updated
06/19/2019
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