National Provider Identifier

Colleen M Vaccaro, PA

Colleen M Vaccaro, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 632-2311.

NPI 1801987284Williamsville, NYPhysician Assistant

Profile Overview

NPI
1801987284
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 28, 2006
Last Updated
October 15, 2009

Practice Location

  • 5144 Sheridan Dr
  • Williamsville, NY 14221-4648

Phone: (716) 632-2311

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1801987284
Entity Type
Individual
Last Name
Vaccaro
First Name
Colleen
Middle Name
M
Name Prefix
Mrs.
Credential
PA
Mailing Street Address
5144 Sheridan Dr
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-4648
Mailing Country
US
Mailing Phone
(716) 632-2311
Mailing Fax
(716) 632-3140
Practice Street Address
5144 Sheridan Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-4648
Practice Country
US
Practice Phone
(716) 632-2311
Practice Fax
(716) 632-3140
Enumeration Date
September 28, 2006
Last Updated
October 15, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
000570453003 (NY, BCBS), 00026560704 (NY, Univera)