Individual
MARY ANGELA MCLELLAN-DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 MAPLE RD, AMHERST, NY 14221-3291
(716) 656-4077
(716) 458-0271
Mailing address
PO BOX 488, BUFFALO, NY 14240-0488
(203) 944-1940
(203) 402-4192
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
229046
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02461329
—
NY
Enumeration date
04/28/2006
Last updated
05/16/2019
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