Individual
MRS. CHARLENE ANN DANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 RESEARCH WAY, EAST SETAUKET, NY 11733-3453
(631) 722-2177
Mailing address
164 BAYVIEW DR, MASTIC BEACH, NY 11951-5401
(631) 312-4446
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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