National Provider Identifier
Colin Evan Deangelis
Colin Evan Deangelis is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 961-9900.
Profile Overview
- NPI
- 1417799156
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 12, 2024
- Last Updated
- November 06, 2025
Practice Location
- 1020 Youngs RD Ste 110
- Williamsville, NY 14221-2698
Phone: (716) 961-9900
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1417799156
- Entity Type
- Individual
- Last Name
- Deangelis
- First Name
- Colin
- Middle Name
- Evan
- Mailing Street Address
- 1020 Youngs RD Ste 110
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2698
- Mailing Country
- US
- Mailing Phone
- (716) 961-9900
- Practice Street Address
- 1020 Youngs RD Ste 110
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2698
- Practice Country
- US
- Practice Phone
- (716) 961-9900
- Enumeration Date
- June 12, 2024
- Last Updated
- November 06, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 06, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)