Individual
GEORGIA MARIE ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1234
Mailing address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F341356
NY
Other
Enumeration date
12/05/2017
Last updated
03/12/2019
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