National Provider Identifier

Nicholas Charles Matteliano, PHARMD

Nicholas Charles Matteliano, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 824-1721.

NPI 1922247568Buffalo, NYPharmacist

Profile Overview

NPI
1922247568
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
February 04, 2009
Last Updated
January 15, 2022

Practice Location

  • 360 Dingens St
  • Buffalo, NY 14206-2319

Phone: (716) 824-1721

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1922247568
Entity Type
Individual
Last Name
Matteliano
First Name
Nicholas
Middle Name
Charles
Name Prefix
Dr.
Credential
PHARMD
Mailing Street Address
360 Dingens St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14206-2319
Mailing Country
US
Mailing Phone
(716) 824-1721
Mailing Fax
(716) 824-1227
Practice Street Address
360 Dingens St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14206-2319
Practice Country
US
Practice Phone
(716) 824-1721
Practice Fax
(716) 824-1227
Enumeration Date
February 04, 2009
Last Updated
January 15, 2022
Sex
Male
Sole Proprietor
Yes
Certification Date
January 15, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)
Other Identifiers
053255 (NY, License)