Individual
MS. ANGELINA M MISENO-CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1694 ROUTE 9, HALFMOON, NY 12065-8816
(518) 930-7486
(518) 930-7487
Mailing address
PO BOX 500, ELLICOTTVILLE, NY 14731-0500
(716) 699-9032
(716) 369-9590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
009607
NY
363A00000X
Physician Assistant
Primary
5601007026
MI
363AM0700X
Medical Physician Assistant
009607
NY
Other
Enumeration date
08/16/2005
Last updated
02/05/2021
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