Individual
LOUANGELO JORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
276 5TH AVE FL 5, NEW YORK, NY 10001-4527
(425) 345-2948
Mailing address
16 PARK AVE # 10D, NEW YORK, NY 10016-4329
(425) 345-2948
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406432
NY
Other
Enumeration date
01/27/2025
Last updated
03/12/2025
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