Provider Demographics
NPI:1083886717
Name:BOSINSKI, ANGELA M (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:BOSINSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 GRIDER ST RM CC-191
Mailing Address - Street 2:DEPARTMENT OF FAMILY MEDICINE
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-3021
Mailing Address - Country:US
Mailing Address - Phone:716-898-5742
Mailing Address - Fax:716-898-3536
Practice Address - Street 1:462 GRIDER ST RM CC-191
Practice Address - Street 2:DEPARTMENT OF FAMILY MEDICINE
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3021
Practice Address - Country:US
Practice Address - Phone:716-898-5742
Practice Address - Fax:716-898-3536
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist