Individual
ANGELINE COGGINS PELLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., R.P.A., M.S.
Contact information
Practice address
3775 SENECA ST, WEST SENECA, NY 14224-3434
(716) 712-0890
(716) 712-0933
Mailing address
3775 SENECA ST, WEST SENECA, NY 14224-3434
(716) 712-0890
(716) 712-0933
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001076-1
NY
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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