Individual
ANGELA MONACO MACALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1561 LONG POND RD, SUITE 411, ROCHESTER, NY 14626-4117
(585) 723-0030
(585) 723-8478
Mailing address
1561 LONG POND RD, SUITE 411, ROCHESTER, NY 14626-4117
(585) 723-0030
(585) 723-8478
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001928-1
NY
231HA2400X
Assistive Technology Practitioner Audiologist
001928-1
NY
231HA2500X
Assistive Technology Supplier Audiologist
001928-1
NY
237600000X
Audiologist-Hearing Aid Fitter
14000017710
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155524AI
PREFERRED CARE
NY
01
—
510527691
EMPIRE PLAN
NY
01
—
7926668
AETNA
NY
01
—
P010101928
EXCELLUS BCBS
NY
01
—
P020101928
EXCELLUS BCBS
NY
Enumeration date
03/24/2006
Last updated
04/20/2009
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