National Provider Identifier
Malynda Mary Coniglio
Malynda Mary Coniglio is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 828-9560.
Profile Overview
- NPI
- 1093070534
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- July 11, 2012
- Last Updated
- July 11, 2012
Practice Location
- 51 Saint Johns Parkside St
- Buffalo, NY 14210-2515
Phone: (716) 828-9560
Mailing Address
- 51 Saint Johns Parkside
- Buffalo, NY 14210
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1093070534
- Entity Type
- Individual
- Last Name
- Coniglio
- First Name
- Malynda
- Middle Name
- Mary
- Name Prefix
- Mrs.
- Provider Other Last Name
- Lamancuso
- Provider Other First Name
- Malynda
- Provider Other Middle Name
- Mary
- Provider Other Credential Text
- B.S.ED
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 51 Saint Johns Parkside
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14210
- Mailing Country
- US
- Mailing Phone
- (716) 828-9560
- Mailing Fax
- (716) 828-9467
- Practice Street Address
- 51 Saint Johns Parkside St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-2515
- Practice Country
- US
- Practice Phone
- (716) 828-9560
- Practice Fax
- (716) 828-9467
- Enumeration Date
- July 11, 2012
- Last Updated
- July 11, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 455456101 (NY, License/Certificate Number)