Individual
MICAH ANGELA ANGELITUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6000
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-2925
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F433335-01
NY
Other
Enumeration date
04/23/2025
Last updated
07/19/2025
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