Individual
ANGELA CONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029
(212) 241-6500
Mailing address
91 W 5TH ST, BAYONNE, NJ 07002-1111
(212) 463-0101
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
06060035
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06060035
—
NY
Enumeration date
04/03/2015
Last updated
08/21/2020
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