KATHRYN LOUISE CANGIANIELLO


Address: 155 Lawn Ave, Buffalo, NY 14207-1816
Phone: 7168752904

KATHRYN LOUISE CANGIANIELLO (NPI# 1831504331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831504331
Entity Type Individual
Full Name KATHRYN LOUISE CANGIANIELLO
Other Name KATHRYN LOUISE GRASSO
Credential PA-C
Practice Address 155 Lawn Ave
Buffalo
NY 14207-1816
Practice Telephone 7168752904
Practice Fax Number 7168756717
Mailing Telephone 7168752904
Mailing Fax Number 7168756717
Enumeration Date 2014-06-24
Last Update Date 2020-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 017569 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03934223 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
79 North St, Granville Family Health, Granville, NY 128321137 5186420612 5186420693

Office Location

Street Address 155 LAWN AVE
City BUFFALO
State NY
Zip Code 14207-1816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023012853 Mary A Rykert-wolf Family Medicine 155 Lawn Ave, Buffalo, NY 14207-1816 2005-06-09
1093340465 Anna Marszalkowski Nurse Practitioner 155 Lawn Ave, Buffalo, NY 14207-1816 2020-03-06
1821629510 Joseph Mathis Quackenbush Physician Assistant 155 Lawn Ave, Buffalo, NY 14207-1816 2020-01-31
1669026365 Kerisa Lynne Muffoletto Dental Hygienist 155 Lawn Ave, Buffalo, NY 14207-1816 2019-07-31
1073166815 Laura Myers Social Worker 155 Lawn Ave, Buffalo, NY 14207-1816 2019-07-22
1699328690 Jessica Mae Matott Nurse Practitioner 155 Lawn Ave, Buffalo, NY 14207-1816 2019-07-18
1780246496 Jennifer Kaye Buyea Family Medicine 155 Lawn Ave, Buffalo, NY 14207-1816 2019-07-02
1104388313 Clare Malachowski Social Worker 155 Lawn Ave, Buffalo, NY 14207-1816 2019-04-05
1396203584 Luanne Patterson Nurse Practitioner 155 Lawn Ave, Buffalo, NY 14207-1816 2019-03-06
1245704352 Madeline Cecelia Mcmorrow Nurse Practitioner 155 Lawn Ave, Buffalo, NY 14207-1816 2019-01-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063981595 Shannon Nicole Johns Doula 191 Rebecca Park, Buffalo, NY 14207 2018-11-14
1225567654 Sky Blue Transportation Taxi 276 Esser Avenue, Buffalo, NY 14207 2017-06-08
1497171706 Armida Orozco Pathology 219 Brynt St, Woman & Children Hosp of Buffalo, Buffalo, NY 14207 2014-03-11
1508208828 Kyla Rae Marte Obstetrics & Gynecology 155 Lawn Ave Ste 100, Buffalo, NY 14207 2013-07-28
1407107121 Britney Sade Caldwell Licensed Practical Nurse 84 Chadduck Ave, Buffalo, NY 14207 2012-09-20
1275862088 Aspire Family Dental, Pllc Dentist 476 Hertel Avenue, Buffalo, NY 14207 2009-12-08
1982834503 Rebecca Lynn Blenski Pharmacist 801 Tonawanda Street, Buffalo, NY 14207 2009-07-16
1790920478 Aspire Family Dental, Pllc Dentist 484 Ontario Street, Buffalo, NY 14207 2008-12-09
1447417746 Michele Marie Taschetta Licensed Practical Nurse 79 Eckhert St, Buffalo, NY 14207 2008-05-22
1184831844 Anacleto Jr Apostol Mangaser Preventive Medicine 1 Sheridan Drive, Dupont Yerkes Medical Dept, Buffalo, NY 14207 2007-05-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023636743 Elizabeth Ann Smith Physician Assistant 1083 Delaware Ave Ste 1, Buffalo, NY 14209-1674 2020-07-09
1720616055 Carrie Saleh Fisher Physician Assistant 729 Tacoma Ave, Buffalo, NY 14216-2519 2020-03-31
1134757438 Lauren Marie Fickett Physician Assistant 726 Exchange St Ste 710, Buffalo, NY 14210-1464 2020-03-31
1578191334 Stephanie Catherine Reesor Physician Assistant 44 Leonard Post Dr, Buffalo, NY 14211-2806 2020-03-28
1679003206 Amanda Marie Barnhard Physician Assistant 237 Linwood Ave Fl 1, Buffalo, NY 14209-2009 2017-06-15
1538692702 Daniel Patrick Physician Assistant 302 W Tupper St, Lower Front, Buffalo, NY 14201-1945 2017-04-05
1902347354 Alyssa Frndak Physician Assistant 2625 Harlem Rd Ste 160, Buffalo, NY 14225-4033 2017-03-18
1306205059 Nathan Manna Physician Assistant 351 Mckinley Pkwy, Buffalo, NY 14220-2227 2016-02-22
1902265085 Andrea R Miller Physician Assistant 77 Goodell St Ste 340, Buffalo, NY 14203-1243 2016-02-17
1811251218 Emily C Hennessy Physician Assistant 1001 Main St # 4, Buffalo, NY 14203-1009 2012-06-29
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Competitor

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City BUFFALO
Zip Code 14207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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