Individual
ANGELA INTERRANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 667-2528
Mailing address
42 COUNTRY LN, STATEN ISLAND, NY 10312-1687
(718) 667-2528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092171-1
NY
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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