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Individual

MS. ANGELLA MARCIA BARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N., F.N.P

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6345
Mailing address
19 BUENA VISTA AVE, SPRING VALLEY, NY 10977-3039
(845) 352-1574

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333308-1
NY

Other

Enumeration date
09/06/2011
Last updated
09/06/2011
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