Individual
DR. GARY JAMES DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1550 OVINGTON AVE, BROOKLYN, NY 11219
(718) 256-1570
(718) 837-1412
Mailing address
1550 OVINGTON AVE, BROOKLYN, NY 11219
(646) 626-0892
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
139688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00546103
—
NY
Enumeration date
09/14/2006
Last updated
07/01/2013
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