Individual
DR. LORENZ SANTOS ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
PO BOX 5000, MARCY, NY 13403-5000
(315) 768-1400
Mailing address
PO BOX 5000, MARCY, NY 13403-5000
(315) 768-1400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
026287
NY
103TB0200X
Cognitive & Behavioral Psychologist
026287
NY
103TC0700X
Clinical Psychologist
Primary
026287
NY
Other
Enumeration date
05/21/2024
Last updated
12/30/2024
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