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Individual

JONATHAN D'ANGELO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
7119 252ND ST, BELLEROSE, NY 11426-2731
(347) 679-4899
Mailing address
7119 252ND ST, BELLEROSE, NY 11426-2731
(347) 679-4899

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013386
NY
2255A2300X
Athletic Trainer
003163
NY

Other

Enumeration date
12/18/2019
Last updated
08/27/2020
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