Provider Demographics
NPI:1669759536
Name:CORIGLIANO, NANCY R
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:R
Last Name:CORIGLIANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 GRAND ISLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-2249
Mailing Address - Country:US
Mailing Address - Phone:716-773-4323
Mailing Address - Fax:716-773-9418
Practice Address - Street 1:9625 MAIN ST
Practice Address - Street 2:
Practice Address - City:CLARENCE
Practice Address - State:NY
Practice Address - Zip Code:14031-2001
Practice Address - Country:US
Practice Address - Phone:716-407-9100
Practice Address - Fax:716-407-9126
Is Sole Proprietor?:No
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013651-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist