Individual
CAROL DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 ARCADIA RD, GOSHEN, NY 10924-5502
(844) 828-2666
Mailing address
29 ARCADIA RD, GOSHEN, NY 10924-5502
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
212685
NY
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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