Individual
ANGELINA REPEROGA DECASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36A GRANDVIEW AVE, STATEN ISLAND, NY 10303-2000
(917) 817-4836
(718) 445-6545
Mailing address
193-04 HORACE HARDING EXPWY #3G, FRESH MEADOWS, NY 11365-3540
(917) 817-4836
(718) 445-6545
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
164908
NY
Other
Enumeration date
09/06/2006
Last updated
09/13/2020
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