Individual
MR. BRIAN LOUIS ANGORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
243 NORTH RD, POUGHKEEPSIE, NY 12601-1172
(845) 485-5087
(845) 485-4904
Mailing address
67 MAIDSTONE DR, WALDEN, NY 12586-2427
(914) 213-8854
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0042251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042251
PTA
NY
Enumeration date
05/21/2007
Last updated
07/08/2007
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