Individual
COLLEEN A ANGIELCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
7531 SENECA ST, EAST AURORA, NY 14052-9407
(716) 655-5019
(716) 655-1567
Mailing address
7531 SENECA ST, EAST AURORA, NY 14052-9407
(716) 655-5019
(716) 655-1567
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001747-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020029302
UNIVERA
NY
01
—
000570158005
HEALTLH NOW
NY
01
—
161000580
NOVA
NY
01
—
9512978
IHA
NY
Enumeration date
07/29/2006
Last updated
01/26/2010
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