Individual
MS. ANGELA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
48 BOGOTA RD, MASTIC BEACH, NY 11951-4310
(631) 310-9579
Mailing address
48 BOGOTA RD, MASTIC BEACH, NY 11951-4310
(631) 310-9579
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
243066
NY
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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