Individual
BRANDY CACCIATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 FREDERICK ST, ILION, NY 13357-2541
(315) 895-7471
(315) 895-5525
Mailing address
111 FREDERICK ST, ILION, NY 13357-2541
(315) 895-7471
(315) 895-5525
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297702
NY
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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