Organization
WIGS BY ANGELLINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELLINE SMALLS (OWNER)
(845) 559-0033
Entity
Organization
Contact information
Practice address
381 MAIN ST, POUGHKEEPSIE, NY 12601-3316
(845) 559-0033
Mailing address
381 MAIN ST, POUGHKEEPSIE, NY 12601-3316
(845) 559-0033
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
06/11/2019
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