Deangelis, Kimberly
Deangelis, Kimberly is an individual health care provider with primary practice located at 5949 Broadway St , Lancaster NY 14086-9523. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Deangelis, Kimberly can be contacted via phone (716) 684-3000.Contact Information
Primary practice address
5949 Broadway St
Lancaster NY 14086-9523
Phone: (716) 684-3000
Fax: (716) 684-5286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 005894-1 | New York |
Profile Details
| NPI number | 1467630418 |
|---|---|
| LBN Legal business name | Deangelis, Kimberly |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2008 |
| Last updated | Feb 1st, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467630418 | NPPES |
| New York | Other | 335182 | MEDICARE PROVIDER ID |
| New York | MEDICAID | 01182512 | MEDICARE PROVIDER ID |
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