Individual
DR. MARIETTA ANGELOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 LARK DR, ALBANY, NY 12207-1300
(518) 465-4771
Mailing address
920 LARK DR, ALBANY, NY 12207-1300
(518) 465-4771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
237285
NY
207Q00000X
Family Medicine Physician
ME89252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000412538001
BSNENY
NY
05
—
02845632
—
NY
01
—
070302000057
FIDELIS
NY
01
—
10117679
CDPHP
NY
01
—
114978
GHI HMO
NY
01
—
200398
SENIOR WHOLE HEALTH
NY
01
—
5822D1
EMPIRE BLUE CROSS
NY
01
—
6003782
MVP
NY
01
—
7478863
AETNA
NY
Enumeration date
05/20/2006
Last updated
01/08/2016
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