Individual
CORRIN ZACCAGNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8750 TRANSIT RD STE 105, EAST AMHERST, NY 14051-2610
(716) 636-1470
(716) 636-1423
Mailing address
3925 SHERIDAN DR, STE 100, AMHERST, NY 14226-1738
(716) 250-6492
(716) 250-6522
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
023598
NY
Other
Enumeration date
07/31/2019
Last updated
09/13/2019
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