Individual
MS. ANNA THERESA D'ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9 WOODLAND DR, PERU, NY 12972
(518) 643-2114
(518) 643-2114
Mailing address
9 WOODLAND DR, P.O. BOX 437, PERU, NY 12972
(518) 643-2114
(518) 643-2114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002609-1
NY
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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