Individual
ANGELICA LYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14520 106TH AVE, JAMAICA, NY 11435-5004
(917) 674-2842
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4387
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013786
NY
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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