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Individual

ANGELA M CARRASQUILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20 CEDAR ST, NEW ROCHELLE, NY 10801-5247
(914) 576-5292
Mailing address
7 JEFFREY DR, CHESTER, NY 10918-2522
(914) 643-1472

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
174400000X
Specialist
330426091
NY

Other

Enumeration date
06/13/2012
Last updated
10/02/2024
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