National Provider Identifier

Angel M Szkutak, P.A.

Angel M Szkutak, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Derby, NY and a listed phone number of (716) 947-0408.

NPI 1407129109Derby, NYPhysician Assistant

Profile Overview

NPI
1407129109
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 12, 2012
Last Updated
October 27, 2015

Practice Location

  • 7060 Erie RD
  • Derby, NY 14047-9430

Phone: (716) 947-0408

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1407129109
Entity Type
Individual
Last Name
Szkutak
First Name
Angel
Middle Name
M
Credential
P.A.
Mailing Street Address
7060 Erie RD
Mailing City
Derby
Mailing State
NY
Mailing ZIP Code
14047-9430
Mailing Country
US
Mailing Phone
(716) 947-0408
Practice Street Address
7060 Erie RD
Practice City
Derby
Practice State
NY
Practice ZIP Code
14047-9430
Practice Country
US
Practice Phone
(716) 947-0408
Enumeration Date
February 12, 2012
Last Updated
October 27, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
01632562 (NY)