Individual
MISS ANJELIQUE MARIA RESTREPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
32 SCOTT AVE, STATEN ISLAND, NY 10305-3516
(646) 220-1456
Mailing address
32 SCOTT AVE, STATEN ISLAND, NY 10305-3516
(646) 220-1456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017486
NY
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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