Individual
MR. RONALD M D ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-A
Contact information
Practice address
121 ERIE CANAL DR, STE. E, ROCHESTER, NY 14626-4605
(585) 227-9920
Mailing address
PO BOX 406153, ATLANTA, GA 30384-1876
(585) 227-9920
(585) 225-6574
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001993
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11545677
CAQH
—
01
—
179756AI
PREFERRED CARE
NY
01
—
P010001993
EXCELLUS ROCHESTER REGION
NY
Enumeration date
11/14/2006
Last updated
01/16/2009
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