Individual
MRS. ANGELA DIANE ADIMANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, PNP
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3576
Mailing address
372 WILLIS AVE, MINEOLA, NY 11501-1818
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382092
NY
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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