Individual
ANGELINA IMPERATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21410 24TH AVE, BAYSIDE, NY 11360-2219
(929) 255-4792
Mailing address
PO BOX 575035, WHITESTONE, NY 11357-5035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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