Individual
MRS. DEBRA LYNN D'ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 LAKE AVE, STATEN ISLAND, NY 10303-2629
(718) 816-3551
Mailing address
18 IVY PL, MONROE TOWNSHIP, NJ 08831-8704
(732) 251-3445
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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