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NPI Code Detail

MEDICARE: ANGELA EHLINGER COGNP

MEDICARE: ANGELA EHLINGER COGNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LX0001XObstetrics & Gynecology Nurse PractitionerF360036-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1161130691OTHERNYGROUP TAX ID
2P019420136OTHERNYBLUE CHOICE ID NUMBER

General Provider Information

NPI Number : 1336222447
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA EHLINGER COGNP
Provider Business Mailing Address
First Line : 114 UNIVERSITY AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14605-2929
Country : US
Telephone Number : 585-546-2771
Fax Number : 585-454-7001
Provider Business Practice Location Address
First Line : 114 UNIVERSITY AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14605-2929
Country : US
Telephone Number : 585-546-2771
Fax Number : 585-454-7001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 12/15/2015

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