Individual
DR. ANGELO M DELBALSO
Active
Individual
DR. ANGELO M DELBALSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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