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Individual

ANGELA IANNITTI-HULSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
147 LAKE ST, NEWBURGH, NY 12550-5263
(845) 563-8000
(845) 534-2940
Mailing address
2570 ROUTE 9W STE 10, CORNWALL, NY 12518-1370
(845) 220-3100
(845) 534-2940

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
240974
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02884513
NY
Enumeration date
09/26/2006
Last updated
11/02/2018
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