ACACIA FAMILY HEALTH NP PLLC; NPI #1124328307

Contact Information

ACACIA FAMILY HEALTH NP PLLC

702 DAVISON RD
LOCKPORT, NY 14094-5371

Phone: 716-514-9355
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for ACACIA FAMILY HEALTH NP PLLC

NPI Number 1124328307

LBN Legal business name ACACIA FAMILY HEALTH NP PLLC

Authorized official MICHAEL OSTOLSKI - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/22/2010

Last updated 01/23/2013 - About 13 years ago

Identifiers

NY	License #	F3316771
NY	Medicaid	0331797

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ACACIA FAMILY HEALTH NP PLLC

Contact Information

Specialty

Family

NPI Profile & details for ACACIA FAMILY HEALTH NP PLLC

Reviews for ACACIA FAMILY HEALTH NP PLLC