Mastrangelo, Marie

Mastrangelo, Marie is an individual health care provider with primary practice located at 3675 Southwestern Blvd , Orchard Park NY 14127-1732. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mastrangelo, Marie can be contacted via phone (716) 972-0279.

Contact Information

Primary practice address
3675 Southwestern Blvd Orchard Park NY 14127-1732
Phone: (716) 972-0279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 310686 New York

Profile Details

NPI number 1457005001
LBN Legal business name Mastrangelo, Marie
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2022
Last updated Feb 11th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457005001 NPPES
New York Other 310686 NYS LICENSE

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