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Individual

ANGELINA CALANDRUCCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 WATERS PL, BRONX, NY 10461-2728
(719) 631-2407
Mailing address
1200 WATERS PL, BRONX, NY 10461-2728

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
035002
NY
363A00000X
Physician Assistant
7389
CT
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/25/2025
Last updated
02/10/2026
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