National Provider Identifier

Danielle Casillo, AGPCNP-BC

Danielle Casillo, AGPCNP-BC is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in West Amherst, NY and a listed phone number of (716) 564-1111.

NPI 1164885067West Amherst, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1164885067
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
March 30, 2016
Last Updated
August 09, 2017

Practice Location

  • 3950 E Robinson RD
  • Suite 207
  • West Amherst, NY 14228-2041

Phone: (716) 564-1111

Mailing Address

  • 1150 Youngs RD
  • Suite 104
  • Williamsville, NY 14221

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
  • Adult Medicine Physician (207QA0505X)
Full Record
NPI
1164885067
Entity Type
Individual
Last Name
Casillo
First Name
Danielle
Name Prefix
Mrs.
Credential
AGPCNP-BC
Mailing Street Address
1150 Youngs RD
Mailing Address Line 2
Suite 104
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221
Mailing Country
US
Mailing Phone
(716) 636-7990
Mailing Fax
(716) 636-7993
Practice Street Address
3950 E Robinson RD
Practice Address Line 2
Suite 207
Practice City
West Amherst
Practice State
NY
Practice ZIP Code
14228-2041
Practice Country
US
Practice Phone
(716) 564-1111
Practice Fax
(716) 564-1128
Enumeration Date
March 30, 2016
Last Updated
August 09, 2017
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X), Adult Medicine Physician (207QA0505X)
Other Identifiers
J400372417 (NY, Medicare)