Healthcare Provider Details

I. General information

NPI: 1184734063
Provider Name (Legal Business Name): KRISTEN SCHIMLEY TOSCANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2423 GRAND ISLAND BLVD
GRAND ISLAND NY
14072-1608
US

IV. Provider business mailing address

1420 E RIVER RD
GRAND ISLAND NY
14072-2332
US

V. Phone/Fax

Practice location:
  • Phone: 716-773-3300
  • Fax:
Mailing address:
  • Phone: 703-405-7236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: