Individual
MRS. SIBLEA FAY PANGALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
462 GRIDER STREET, BUFFALO, NY 14215
(716) 961-6995
(716) 204-4501
Mailing address
15059 N. SCOTTSDALE ROAD, SUITE 600, SCOTTSDALE, AZ 85254
(602) 778-3601
(602) 445-9390
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014731
NY
Other
Enumeration date
05/03/2011
Last updated
11/22/2016
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