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NPI Code Detail

MEDICARE: TRACY L CHELLINO NP IN ADULT HEALTH WELLNESS

MEDICARE: TRACY L CHELLINO NP IN ADULT HEALTH WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1205770955
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRACY L CHELLINO NP IN ADULT HEALTH WELLNESS
Provider Business Mailing Address
First Line : 6480 MAIN ST STE 1
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-5852
Country : US
Telephone Number : 716-458-0005
Fax Number : 716-989-5030
Provider Business Practice Location Address
First Line : 6480 MAIN ST STE 1
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-5852
Country : US
Telephone Number : 716-458-0005
Fax Number : 716-989-5030
Authorized Official
Title or Position : OWNER
Name : TRACY CHELLINO
Credential : NP
Telephone Number : 716-458-0005
Provider Enumeration Date : 04/15/2026
Last Update Date : 06/02/2026

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Directions to “TRACY L CHELLINO NP IN ADULT HEALTH WELLNESS ” Practice Location

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