National Provider Identifier

Angela Mary Mackowiak

Angela Mary Mackowiak is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Greenhurst, NY and a listed phone number of (716) 483-5000.

NPI 1083235337Greenhurst, NYSpeech-Language Pathologist

Profile Overview

NPI
1083235337
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
April 28, 2020
Last Updated
April 28, 2020

Practice Location

  • 3023 Ny-430
  • Greenhurst, NY 14742

Phone: (716) 483-5000

Mailing Address

  • 194 Temple St
  • Fredonia, NY 14063-1757

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1083235337
Entity Type
Individual
Last Name
Mackowiak
First Name
Angela
Middle Name
Mary
Mailing Street Address
194 Temple St
Mailing City
Fredonia
Mailing State
NY
Mailing ZIP Code
14063-1757
Mailing Country
US
Mailing Phone
(716) 785-4334
Practice Street Address
3023 Ny-430
Practice City
Greenhurst
Practice State
NY
Practice ZIP Code
14742
Practice Country
US
Practice Phone
(716) 483-5000
Enumeration Date
April 28, 2020
Last Updated
April 28, 2020
Sex
Female
Sole Proprietor
No
Certification Date
April 28, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)