National Provider Identifier
Angelica Driscoll
Angelica Driscoll is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Buffalo, NY and a listed phone number of (716) 815-4415.
Profile Overview
- NPI
- 1831984384
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- April 14, 2025
- Last Updated
- April 14, 2025
Practice Location
- 1585 Hertel Ave
- Buffalo, NY 14216-2997
Phone: (716) 815-4415
Mailing Address
- 12 Rosedale Blvd
- Amherst, NY 14226-3346
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1831984384
- Entity Type
- Individual
- Last Name
- Driscoll
- First Name
- Angelica
- Provider Other Last Name
- Tan
- Provider Other First Name
- Angelica
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 12 Rosedale Blvd
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3346
- Mailing Country
- US
- Practice Street Address
- 1585 Hertel Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216-2997
- Practice Country
- US
- Practice Phone
- (716) 815-4415
- Enumeration Date
- April 14, 2025
- Last Updated
- April 14, 2025
- Sex
- X
- Sole Proprietor
- No
- Certification Date
- April 14, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)