Individual
MS. ANGELA RETANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MA,MSN, PMHNP-BC
Contact information
Practice address
115 CENTRAL PARK W OFC 12, NEW YORK, NY 10023-4198
(212) 228-3970
Mailing address
115 CENTRAL PARK W OFC 12, NEW YORK, NY 10023-4198
(212) 228-3970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13466100
NJ
163W00000X
Registered Nurse
576684-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401201-1
NY
Other
Enumeration date
09/03/2009
Last updated
02/09/2022
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