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Individual

ROBERTO G COLANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576
(516) 365-8372
(516) 390-7326
Mailing address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576
(516) 365-8372
(516) 390-7326

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
192051
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01768905
NY
Enumeration date
09/29/2006
Last updated
10/22/2007
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