Deangelis, Malia
Deangelis, Malia is an individual health care provider with primary practice located at 3980 Sheridan Dr Suite 200, Amherst NY 14226-1727. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Deangelis, Malia can be contacted via phone (716) 250-2000.Contact Information
Primary practice address
3980 Sheridan Dr Suite 200
Amherst NY 14226-1727
Phone: (716) 250-2000
Fax: (716) 636-1365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0100741 | New York |
Profile Details
| NPI number | 1700942174 |
|---|---|
| LBN Legal business name | Deangelis, Malia |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1700942174 | NPPES |
| New York | Other | 00026953001 | UNIVERA |
| New York | Other | 000570515002 | UNIVERA |
| New York | MEDICAID | 02631354 | UNIVERA |
| New York | Other | 000570515001 | UNIVERA |
| New York | Other | 9512745 | UNIVERA |
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