Individual
MADISON ANN COLANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 ROSE LN, MAMARONECK, NY 10543-3115
(914) 575-1821
Mailing address
1503 ROSE LN, MAMARONECK, NY 10543-3115
(914) 575-1821
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
625355118
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
625355118
DAVISON
NY
Enumeration date
11/18/2019
Last updated
11/18/2019
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