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Individual

MICHAEL RICHARD DEANGELIS

Active
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Individual

MICHAEL RICHARD DEANGELIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
185967
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000080229
BETTER HEALTH
—
05
—
01836722
—
NY
01
—
113517950
MAGNACARE
—
01
—
113517950-001
PRUDENTIAL
—
01
—
1297667
UNITED HEALTHCARE
—
01
—
185967
HIP
—
01
—
24044
ANTHEM
NY
01
—
2599070
GHI
—
01
—
2C4152
HEALTHNET
—
01
—
44543
VYTRA
—
01
—
477230
PHCS
—
01
—
542716
AETNA
NY
01
—
6368053004
CIGNA
—
01
—
P746167
OXFORD
—
Enumeration date
10/05/2006
Last updated
11/17/2023
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