Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063501369 Individual Practitioner Female Practitioner

Dr. Angela Marie Cancellieri , DC

Chiropractor • Blasdell, NY

Professional Overview & Biography Verified Profile Summary

Dr. Angela Cancellieri, DC is a registered healthcare professional specializing in Chiropractor in Blasdell, NY. Practice services are available at 4945 LAKE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4945 Lake Ave

Blasdell, NY 142191313

Telephone 6314954302

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Blasdell, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Blasdell, NY (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-13
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NY X-005472-1

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 13, 2025

Registered at 4945 LAKE AVE, BLASDELL, NY 142191313 (Tel: 6314954302)

📍
Updated Business Mailing Address February 13, 2025

Registered at 4945 LAKE AVE, BLASDELL, NY 142191313 (Tel: 6314954302)

NPI Profile Active March 19, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2008

Registered at 900 WALT WHITMAN RD, SUITE 100, MELVILLE, NY 117472293 (Tel: 6316736464)

📍
Updated Business Mailing Address March 19, 2008

Registered at 900 WALT WHITMAN RD, SUITE 100, MELVILLE, NY 117472293 (Tel: 6316736464)

👤
Provider Name / Credentials Updated March 19, 2008

Recorded as ANGELA CANCELLIERI, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2008

Chiropractor (License #X-005472-1 in NY)

🟢
Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063501369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: February 13, 2025
Sole Proprietor: Yes

Mailing Address

4945 Lake Ave

Blasdell, NY 142191313

Phone: 6314954302

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.