Provider Demographics
NPI:1770806606
Name:ARCESE, NELS (RPH)
Entity type:Individual
Prefix:MR
First Name:NELS
Middle Name:
Last Name:ARCESE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 CLOVERBANK RD
Mailing Address - Street 2:SAWGRASS UNIT #95
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3400
Mailing Address - Country:US
Mailing Address - Phone:716-574-5912
Mailing Address - Fax:
Practice Address - Street 1:1031 CLEVELAND DR
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1221
Practice Address - Country:US
Practice Address - Phone:716-632-4888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-06
Last Update Date:2010-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030678183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist