Individual
ANGELA VIVIANA DEPOMPEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 JERICHO TURNPIKE SUITE 120W, SYOSSET, NY 11791
(516) 393-5966
Mailing address
205 CATHERINE ST, BUCHANAN, NY 10511
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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