National Provider Identifier
Monica E Fellenz, PA
Monica E Fellenz, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Irving, NY and a listed phone number of (716) 532-5582.
Profile Overview
- NPI
- 1043305246
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- October 04, 2006
- Last Updated
- May 12, 2025
Practice Location
- 275 Thomas Indian School Dr
- Irving, NY 14081-9341
Phone: (716) 532-5582
Mailing Address
- 987 R C Hoag Dr
- Salamanca, NY 14779-1365
Specialties
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1043305246
- Entity Type
- Individual
- Last Name
- Fellenz
- First Name
- Monica
- Middle Name
- E
- Credential
- PA
- Mailing Street Address
- 987 R C Hoag Dr
- Mailing City
- Salamanca
- Mailing State
- NY
- Mailing ZIP Code
- 14779-1365
- Mailing Country
- US
- Mailing Phone
- (716) 532-5582
- Mailing Fax
- (716) 242-6345
- Practice Street Address
- 275 Thomas Indian School Dr
- Practice City
- Irving
- Practice State
- NY
- Practice ZIP Code
- 14081-9341
- Practice Country
- US
- Practice Phone
- (716) 532-5582
- Practice Fax
- (716) 242-6344
- Enumeration Date
- October 04, 2006
- Last Updated
- May 12, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 12, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)
- Other Identifiers
- 060822000001 (NY, Fidelis Care New York), 000528450001 (NY, Wnybcbs), 9513195 (NY, Independent Health), 03479792 (NY)