Individual
ANGELICA K TREADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 MEETING HOUSE LN STE J, SOUTHAMPTON, NY 11968-5087
(631) 283-3131
Mailing address
42 HAMPTON AVE, MASTIC, NY 11950-3806
(631) 578-5713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/19/2025
Last updated
05/13/2025
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