Individual
DR. JOHN D'ANGELO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7325
(516) 674-7937
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-5539
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
219231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02163606
—
NY
Enumeration date
01/25/2006
Last updated
07/08/2007
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