Individual
DR. JOHN DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642
(585) 463-2940
Mailing address
601 ELMWOOD AVE BOX 655, ROCHESTER, NY 14642-0001
(585) 463-2940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
265921
MA
207P00000X
Emergency Medicine Physician
Primary
273115
NY
363L00000X
Nurse Practitioner
273115
NY
Other
Enumeration date
06/02/2011
Last updated
07/07/2023
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