Nicole Channing Piscatelli, D.D.S.
Dentist in Buffalo, NY. Individual provider (NPI-1).
NPI number1669908752
StatusActive
Last updated in NPPESJun 26, 2019
Details
- NPI
- 1669908752
- Entity type
- Individual (NPI-1)
- Name
- Nicole Channing Piscatelli
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2017
- Last updated
- Jun 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 059895 | NY | Yes |
Practice location
462 Grider StBuffalo, NY 14215-3021
Phone 716-898-1686
Mailing address
908 Niagara Falls Blvd Ste 208North Tonawanda, NY 14120-2019
Phone 716-692-3302
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