Individual
ANGELA SORICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
1727 N OCEAN AVE, MEDFORD, NY 11763-2649
(631) 654-1919
Mailing address
180 HELME AVE, MILLER PLACE, NY 11764-3210
(631) 654-1919
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400054-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400054-1
LICENSE NUMBER
NY
Enumeration date
12/12/2007
Last updated
02/18/2010
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