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Individual

ANGELINA CASERTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP-C

Contact information

Practice address
525 E 68TH ST, BOX 99, NEW YORK, NY 10065-4870
(212) 746-5149
Mailing address
185 E 3RD ST, APT. 6B, NEW YORK, NY 10009-7410
(415) 990-8435

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306189
NY

Other

Enumeration date
08/16/2012
Last updated
12/10/2012
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