Individual
DR. JANIS R. D'ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1368 CLOVE ROAD, STATEN ISLAND, NY 10301
(718) 816-0237
Mailing address
1368 CLOVE ROAD, STATEN ISLAND, NY 10301
(718) 816-0237
(718) 816-5465
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N003721-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-3271397
TAX ID
NY
Enumeration date
10/03/2006
Last updated
04/29/2014
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