Individual
MRS. ANGELIQUE GRACE SCOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
204 SAINT MARKS PL, EAST MEADOW, NY 11554-1802
(516) 705-5784
Mailing address
200 AMOS AVE, OCEANSIDE, NY 11572-2320
(516) 705-5784
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
243356
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01767633
—
NY
Enumeration date
04/24/2009
Last updated
11/02/2009
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