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Individual

ANGELINA REYNOSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25 STORMVILLE RD, HOPEWELL JUNCTION, NY 12533-6245
(845) 505-0683
Mailing address
630 FLUSHING AVE, BROOKLYN, NY 11206-5026
(718) 828-2666

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
686800
NY

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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