Individual
MRS. ANGELA MARIE MINNIEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC A
Contact information
Practice address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 871-9915
(716) 362-0472
Mailing address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 871-9915
(716) 362-0472
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0019921
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011175701
INDEPENDENT HEALTH UNIVER
—
01
—
000576139001
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/11/2006
Last updated
06/29/2015
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