Organization
ALTA VISTA INC.
Active
Other names
The Angelo David Salon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELO DAVID PISACRETA (CEO)
(917) 331-1770
Entity
Organization
Contact information
Practice address
420 MADISON AVE FL 2, NEW YORK, NY 10017-1195
(212) 883-6620
Mailing address
420 MADISON AVE FL 2, NEW YORK, NY 10017-1195
(212) 883-6620
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
04/07/2020
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