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Individual

MS. ANGELINA FRANCIS MIRAGLIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
350 SUNRISE HWY, ROCKVILLE CENTRE, NY 11570-4908
(516) 763-4764
Mailing address
ONE HOLLOW LANE SUITE 301, LAKE SUCCESS, NY 11042
(516) 869-0650

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026618
NY
363A00000X
Physician Assistant
PA.PA.60705011
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2098146
WA
Enumeration date
10/17/2016
Last updated
09/01/2021
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