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Individual

DR. IVONNE S CELLINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3900 N BUFFALO ST, ORCHARD PARK, NY 14127-1842
(716) 656-4802
(716) 250-5930
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
143256-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010027801
UNIVERA
NY
01
000500185005
HEALTH NOW
NY
01
0021748
GHI
NY
05
00808062
NY
01
060011490
RR MEDICARE
NY
01
0703067
IHA
NY
01
161000580
NORTH AMERICAN PREFERRED
NY
Enumeration date
04/20/2006
Last updated
12/06/2021
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