Individual
ANGELA GAGLIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 594-3916
(914) 594-3747
Mailing address
22 SAW MILL RIVER RD, HAWTHORNE, NY 10532-1533
(914) 593-1729
(914) 593-1790
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
232061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02606086
—
NY
Enumeration date
01/20/2006
Last updated
07/08/2007
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