Individual provider · Type 1 NPI

Logan D'angelo, PA-C

Physician Assistant · Jamestown, NY

NPI number 1043146145 Active

Practice location

774 Fairmount Ave
Jamestown, NY 14701-2609

Call (716) 708-6578 Map

Mailing address

126 Heldon Dr
Moon Township, PA 15108-1086

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: 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, orde…

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About NPI 1043146145

Logan D'angelo, PA-C's National Provider Identifier is 1043146145, issued on Jun 18, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jamestown, NY. The record was last updated on Jun 18, 2026.