Individual
DR. CARY FRANK VASTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
30 N UNION RD, WILLIAMSVILLE, NY 14221-5367
(716) 839-8000
Mailing address
30 N UNION RD, WILLIAMSVILLE, NY 14221-5367
(716) 839-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
142631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010182702
UNIVERA PROVIDER ID
NY
01
—
000508092002
BLUECROSS BLUESHIELD ID
NY
01
—
6405734
IHA PROVIDER ID
NY
Enumeration date
07/10/2006
Last updated
12/18/2013
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