| Doctor Name: | COLLEEN A ANGIELCZYK |
| NPI Number: | 1306850672 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | 001747-1 |
| Business Practice Address: | 7531 Seneca St East Aurora, NY - 140529407 |
| Business Phone Number: | 7166555019 |
| Business Fax Number: | 7166551567 |
| Mailing Address: | 7531 Seneca St, EAST AURORA |
| State: | NY |
| Postal Code: | 140529407 |
| Phone Number: | 7166555019 |
| Fax Number: | 7166551567 |
| NPI Enumeration Date: | 07/29/2006 |
| NPI Last Update Date: | 01/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 001747-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |