Malynda Mary Coniglio

Primary specialty

SpecialistTaxonomy code 174400000X

License

455456101 Issued in NY

Practice address

51 Saint Johns Parkside St
Buffalo, NY 14210-2515

Phone

(716) 828-9560

Fax

(716) 828-9467

NPI assigned

Jul 11, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Malynda Mary Lamancuso Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baker Hall Inc

  • Early Intervention Provider Agency
  • Lackawanna, NY
  • NPI 1700013927
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1093070534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SAINT JOHNS PARKSIDE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14210",
            "telephone_number": "716-828-9560",
            "fax_number": "716-828-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SAINT JOHNS PARKSIDE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102515",
            "telephone_number": "716-828-9560",
            "fax_number": "716-828-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONIGLIO",
        "first_name": "MALYNDA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "455456101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE/CERTIFICATE NUMBER",
            "identifier": "455456101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALYNDA",
            "last_name": "LAMANCUSO",
            "middle_name": "MARY",
            "credential": "B.S. ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Concerto Care Medical Group of New York, PC
• Conciege Dental Group PLLC
• Xiomary Conde-Montanez
• Dalinda Ann Condino, MD
• Kamaria Conerly
• Kathryn Conjerti
• Carol A Conklin, LCSW-R
• Amanda Conley
• Danielle M Conley, MD
• James G Conley, MD

• Specialist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.