Individual
ANGELA CERVASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GLEN COVE AVE, GLEN COVE, NY 11542-2818
(516) 609-2000
Mailing address
47 SOUTHRIDGE DR, GLEN COVE, NY 11542-4029
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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