Organization
ALTA VISTA INC.
Active
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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