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Individual

ANGELINA ANDREEVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3269 EVERGREEN HILLS DR, APT.# 6, MACEDON, NY 14502-8855
(585) 750-4010
Mailing address
3269 EVERGREEN HILLS DR, APT.# 6, MACEDON, NY 14502-8855
(585) 750-4010

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
287690-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02863683
NY
Enumeration date
02/01/2009
Last updated
02/01/2009
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