Individual
ANGELA VICTORIA LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 NICHOLS ROAD, HSC T16-020, STONY BROOK, NY 11794-8160
(631) 444-0580
Mailing address
58 IRVING ST, VALLEY STREAM, NY 11580-1635
(516) 244-8119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
320149
NY
207R00000X
Internal Medicine Physician
MD-21739
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
07/14/2023
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