Individual
DR. MICHAEL EDWARD ANGELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 EMERALD PL, ROCK HILL, NY 12775-6049
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
260171
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
260171
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780830158
—
WI
Enumeration date
08/17/2008
Last updated
04/18/2024
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