Most Relevant Information
Provider Data
| NPI Number: | 1003073115 |
| Provider Name: | BETH LYN VACCARELLI ANP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 304626 |
Most Important Dates
| Enumeration Date: | 05/18/2008 |
| Last Updated: | 10/28/2019 |
Provider Practice Location
701 SENECA ST STE 646C
BUFFALO
NY
142101351
Practice Location Phone/Fax
| Phone: | 7169954450 |
| Fax: |
Provider Mailing Location
300 MERIDIAN CENTRE BLVD
SUITE 320
ROCHESTER
NY
146183981
Provider Mailing Phone/Fax
| Phone: | 5854633100 |
| Fax: |