Provider Demographics
NPI:1831137942
Name:ANGELL, MELANIE R (R, PA-C)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:R
Last Name:ANGELL
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Gender:F
Credentials:R, PA-C
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Mailing Address - Street 1:150 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NY
Mailing Address - Zip Code:13346-9518
Mailing Address - Country:US
Mailing Address - Phone:315-824-1100
Mailing Address - Fax:315-495-7056
Practice Address - Street 1:5180 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MUNNSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13409-4058
Practice Address - Country:US
Practice Address - Phone:315-495-2690
Practice Address - Fax:315-495-7056
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2024-10-23
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Provider Licenses
StateLicense IDTaxonomies
NY006778363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical