Angela Marie Angora

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Warsaw, NY

NPI 1649467804 · NPPES record last updated Oct 1, 2007

Key facts

NPI
1649467804
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
422 N Main St
Warsaw, NY 14569-1023
Phone
(585) 786-8133
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

422 N Main St
Warsaw, NY 14569-1023

Mailing address

PO Box 257
Batavia, NY 14021-0257
Phone (585) 993-5330

Other identifiers

IdentifierTypeStateIssuer
00740423MedicaidNY

Other providers in Warsaw, NY

All providers in Warsaw, NY · Addiction (Substance Use Disorder) Counselor in New York

Sources for this page

Verify at the official NPI Registry.