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Organization

DAVID L. CANGELLO, MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID LAURENCE CANGELLO M.D. (OWNER)
(212) 644-4416
Entity
Organization

Contact information

Practice address
66 E 55TH ST, SIXTH FLOOR, NEW YORK, NY 10022-3206
(212) 644-4416
(646) 786-4423
Mailing address
66 E 55TH ST, SIXTH FLOOR, NEW YORK, NY 10022-3206
(212) 644-4416
(646) 786-4423

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
243450
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689813685
INDIVIDUAL NPI
Enumeration date
03/31/2011
Last updated
10/25/2012
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