Memmelaar, Angela

Memmelaar, Angela is an individual health care provider with primary practice located at 2125 River Rd Suite 303, Schenectady NY 12309-1135. 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. Memmelaar, Angela can be contacted via phone (518) 382-8350.

Contact Information

Primary practice address
2125 River Rd Suite 303 Schenectady NY 12309-1135
Fax: (518) 382-0345
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 306051 New York

Profile Details

NPI number 1336496025
LBN Legal business name Memmelaar, Angela
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2012
Last updated Jan 26th, 2018 - about 6 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 1336496025 NPPES
New York MEDICAID 03494497
New York Other 121109000005

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