Individual
ANGELA PAT PARENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 WAGON LN, CENTEREACH, NY 11720-2531
(631) 336-1079
Mailing address
111 WAGON LN, CENTEREACH, NY 11720-2531
(631) 336-1079
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
335358
NY
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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