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Organization

ANGELO AND ANGELICKA ALLIANCE

Active
Other names
Angelo and Angelicka Alliance
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELICKA S JAMES (SERVICES COORDINATOR SUPERVISOR)
(347) 268-5667
Entity
Organization

Contact information

Practice address
508 BEACH 22ND ST, PVT HOUSE, FAR ROCKAWAY, NY 11691-2678
(347) 268-5667
Mailing address
508 BEACH 22ND STREET, PVT HOUSE, FAR ROCKAWAY, NY 11691
(347) 268-5667

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
NY

Other

Enumeration date
12/31/2015
Last updated
12/31/2015
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