Individual
ASPEN L DANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
161 RIVERSIDE DR, SUITE 302, BINGHAMTON, NY 13905-4176
(607) 798-1842
(607) 729-0147
Mailing address
161 RIVERSIDE DR, SUITE 302, BINGHAMTON, NY 13905-4176
(607) 798-1842
(607) 729-0147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
040407
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02666411
—
NY
Enumeration date
07/26/2006
Last updated
02/20/2008
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