Individual
ANGELA CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2456
Mailing address
3 W 15TH ST, HUNTINGTON STATION, NY 11746-2214
(631) 547-0617
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306516-1
NY
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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