Provider Demographics
NPI:1992368393
Name:BIANCHI, NICOLETTE M (PHARMD)
Entity Type:Individual
Prefix:
First Name:NICOLETTE
Middle Name:M
Last Name:BIANCHI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:NICOLETTE
Other - Middle Name:
Other - Last Name:NASCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1760 WEHRLE DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7032
Mailing Address - Country:US
Mailing Address - Phone:716-635-5000
Mailing Address - Fax:
Practice Address - Street 1:3980 MAPLE RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1171
Practice Address - Country:US
Practice Address - Phone:716-515-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist