Diangelo, Kristin Marie

Diangelo, Kristin Marie is an sole proprietor health care provider with primary practice located at 50 Chestnut Cor , Lancaster NY 14086-9394. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Diangelo, Kristin Marie can be contacted via phone (716) 310-7291.

Contact Information

Primary practice address
50 Chestnut Cor Lancaster NY 14086-9394
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F354651-01 New York

Profile Details

NPI number 1235315177
LBN Legal business name Diangelo, Kristin Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2008
Last updated Jul 17th, 2024 - about 5 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235315177 NPPES
New York MEDICAID 02914152

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