Individual
SAMMY L. DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
440 SEAVIEW AVE, STATEN ISLAND, NY 10305-3401
(718) 226-6550
(718) 226-6791
Mailing address
1 EDGEWATER ST, 6TH FL, STATEN ISLAND, NY 10305-4900
(718) 226-1008
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
252772
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03111126
—
NY
Enumeration date
05/12/2009
Last updated
07/16/2009
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