Individual
ALEXANDRA DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
15 PROSPECT AVE, VALHALLA, NY 10595-1909
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W199667661
AETNA
NY
Enumeration date
09/13/2013
Last updated
09/13/2013
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