Organization
DR DAVID ANGELILLO ORTHOPAEDIC SURGERY & SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANGELILLO (MD/OWNER)
(516) 348-1498
Entity
Organization
Contact information
Practice address
20001 LINDEN BLVD, SAINT ALBANS, NY 11412-3223
(718) 971-9300
Mailing address
148 EARL ST, WESTBURY, NY 11590-2945
(516) 348-1498
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116864
LICENSE
NY
Enumeration date
06/19/2019
Last updated
06/19/2019
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