Provider Information for 1194167700
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Mrs. MICHELE D'ANGELO LCSW
Sex: Female
NPI: 1194167700
Last Updated: 2024-01-23
Certification Date: 2024-01-23
Certification Date: 2024-01-23
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194167700 | ||||||||
| Enumeration Date | 2013-07-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 199 MASSAPEQUA, NY 11758-0199 United States Phone: 516-567-4844 | Fax: | ||||||||
| Primary Practice Address | 1226 ALLEN DR SEAFORD, NY 11783-1701 United States Phone: 516-567-4844 | Fax: | ||||||||
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