Individual
ERICA ANN PATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6333 MAIN ST, SUITE 2, WILLIAMSVILLE, NY 14221-5800
(716) 630-1484
(716) 630-1413
Mailing address
6255 SHERIDAN DR, SUITE 304, WILLIAMSVILLE, NY 14221-4836
(716) 857-8666
(716) 857-8944
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303147-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000560680002
HEALTH NOW
NY
05
—
02344392
—
NY
01
—
161000580
NOVA
NY
01
—
9512329
IHA
NY
01
—
P00100487
RR MEDICARE
NY
Enumeration date
08/01/2006
Last updated
09/21/2011
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