Individual
ANGELINA KALODUKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN NURSE
Contact information
Practice address
7 E 8TH ST, HUNTINGTON STATION, NY 11746-1812
(631) 697-1080
Mailing address
7 E 8TH ST, HUNTINGTON STATION, NY 11746-1812
(631) 697-1080
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10-267792
NY
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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