Individual
ANGELA BASTIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
102 OTIS AVE, STATEN ISLAND, NY 10306-2310
(917) 915-0835
Mailing address
102 OTIS AVE, STATEN ISLAND, NY 10306-2310
(917) 915-0835
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018109-1
NY
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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