Angela Manjgaladze
Angela Manjgaladze is a Nurse Practitioner in Victor, New York. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 7
- Licensed in
- NY
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
600 Fishers Station Dr Ste 117Victor, NY 14564-9784
Phone: (585) 337-0992
Fax: (585) 337-0998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 402705 (NY) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 001782 (NY) |
Record details
| NPI number | 1194281444 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2019 |
| Last updated in NPPES | February 1, 2023 |
| Certification date | February 4, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Victor
-
Dr. Jennifer Kathleen Baxter, MD
1669 Pittsford Victor Rd Ste 100, Victor, NY 14564-9666 · (585) 276-7500
-
Colleen Koper Metz, FNP
6532 Anthony Dr Ste A, Victor, NY 14564-1422 · (585) 924-2158