Individual
ANGELA MARCELINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940
(845) 342-4774
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2141
(845) 342-4774
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
294908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294908
NYS LICENSE
NY
Enumeration date
05/16/2012
Last updated
05/20/2019
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