National Provider Identifier
Siblea Fay Pangallo, RPA-C
Siblea Fay Pangallo, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 961-6995.
Profile Overview
- NPI
- 1801188305
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- May 03, 2011
- Last Updated
- November 22, 2016
Practice Location
- 462 Grider Street
- Buffalo, NY 14215
Phone: (716) 961-6995
Mailing Address
- 15059 N. Scottsdale Road
- Suite 600
- Scottsdale, AZ 85254
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1801188305
- Entity Type
- Individual
- Last Name
- Pangallo
- First Name
- Siblea
- Middle Name
- Fay
- Name Prefix
- Mrs.
- Credential
- RPA-C
- Provider Other Last Name
- McFarland
- Provider Other First Name
- Siblea
- Provider Other Middle Name
- Fay
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- RPA-C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 15059 N. Scottsdale Road
- Mailing Address Line 2
- Suite 600
- Mailing City
- Scottsdale
- Mailing State
- AZ
- Mailing ZIP Code
- 85254
- Mailing Country
- US
- Mailing Phone
- (602) 778-3601
- Mailing Fax
- (602) 445-9390
- Practice Street Address
- 462 Grider Street
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215
- Practice Country
- US
- Practice Phone
- (716) 961-6995
- Practice Fax
- (716) 204-4501
- Enumeration Date
- May 03, 2011
- Last Updated
- November 22, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)