Individual
EDNA ANGELINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 LAKEFRONT BLVD, SUITE 130, BUFFALO, NY 14202-4345
(716) 849-8750
(716) 849-8757
Mailing address
50 LAKEFRONT BLVD, SUITE 130, BUFFALO, NY 14202-4345
(716) 849-8750
(716) 849-8757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F334670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02735486
—
NY
Enumeration date
05/02/2006
Last updated
11/08/2013
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