Provider Demographics
NPI:1992756886
Name:ARCARA, MICHELE S (NP)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:S
Last Name:ARCARA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:GULLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 GARDENVILLE PKWY W
Mailing Address - Street 2:ATTN: BETTY PICCILLO
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1324
Mailing Address - Country:US
Mailing Address - Phone:716-857-6150
Mailing Address - Fax:716-656-4074
Practice Address - Street 1:1491 SHERIDAN DR STE 100
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14217-1234
Practice Address - Country:US
Practice Address - Phone:716-332-4476
Practice Address - Fax:716-447-1286
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380242363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10766566OtherCAQH
NY9590234OtherIHA
NY177022DLOtherPREFERRED CARE
NY000560492003OtherBCBS
NY8494418Medicaid
NY040426003349OtherFIDELIS
NY177022DLOtherPREFERRED CARE