Individual
ANGELINA KRAELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
176 SWEEZY AVE, FREEPORT, NY 11520-4118
(516) 610-4649
Mailing address
176 SWEEZY AVE, FREEPORT, NY 11520-4118
(516) 610-4649
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
792165
NY
174400000X
Specialist
Primary
792165
NY
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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