| Organization Name: | HAMBURG NURSE PRACTITIONERS IN ADULT & FAMILY HEALTH CARE PLLC |
| NPI Number: | 1053755876 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY CATHERINE CERRILLO (DNP ANP - OWNER OF PRACTICE) |
| Mailing Address: | 4535 Southwestern Blvd Suite 705 Hamburg |
| State: | NY US |
| Postal Code: | 140751860 |
| Phone Number: | 7166483300 |
| Fax Number: | 7166483322 |
| NPI Enumeration Date: | 04/23/2013 |
| NPI Last Update Date: | 03/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 335722 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |