Healthcare Provider Details

I. General information

NPI: 1851166300
Provider Name (Legal Business Name): BARBARA MARIE ACETI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HIGH ST
BUFFALO NY
14203-1154
US

IV. Provider business mailing address

354 70TH ST
NIAGARA FALLS NY
14304-4057
US

V. Phone/Fax

Practice location:
  • Phone: 716-859-5600
  • Fax:
Mailing address:
  • Phone: 716-860-5310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberF351791-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: