Individual
MR. PETER M ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
540 COMMERCE ST, THORNWOOD, NY 10594-1353
(914) 769-0683
Mailing address
104 ORCHARD TER, PIERMONT, NY 10968-1063
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000639
NY
171100000X
Acupuncturist
MZ000172
NJ
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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