| Doctor Name: | ANGELINE COGGINS PELLIEN |
| NPI Number: | 1063740157 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.S., R.P.A., M.S. |
| License Number: | 001076-1 |
| Business Practice Address: | 3775 Seneca St West Seneca, NY - 142243434 |
| Business Phone Number: | 7167120890 |
| Business Fax Number: | 7167120933 |
| Mailing Address: | 3775 Seneca St, WEST SENECA |
| State: | NY |
| Postal Code: | 142243434 |
| Phone Number: | 7167120890 |
| Fax Number: | 7167120933 |
| NPI Enumeration Date: | 12/01/2009 |
| NPI Last Update Date: | 12/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 001076-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |