Individual
MISS DIANA ELIZABETH ANGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, OPA-C
Contact information
Practice address
622 W 168TH ST, PH 11, NEW YORK, NY 10032-3720
(212) 305-4626
Mailing address
15 FREEDOMWAY, 410, JERSEY CITY, NJ 07305-5497
(914) 261-1920
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001358
NY
Other
Enumeration date
01/10/2007
Last updated
12/06/2011
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