Individual
ANGELLA S WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5871 GROVELAND STATION RD, MOUNT MORRIS, NY 14510-9767
(585) 658-4023
Mailing address
22 NORTHVIEW DR, GENESEO, NY 14454-1110
(585) 243-7671
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
73152971
NY
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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