Individual
DR. ANGELO M DELBALSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 834-9200
Mailing address
30 BOUNDBROOK CT, EAST AMHERST, NY 14051-1653
(716) 689-0428
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
139638
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025344603
UNIVERA
—
01
—
000510133012
BLUE SHIELD WNY
—
05
—
01144090
—
NY
01
—
040426000279
FIDELIS
—
01
—
1396381W
NYS WORKERS COMPENSATION
NY
01
—
1608497
INDEPENDENT HEALTH
—
01
—
197582FF
PREFERRED CARE
—
01
—
4195935
GHI
—
01
—
P00028814
RR MEDICARE
—
Enumeration date
05/03/2006
Last updated
05/06/2008
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