Individual
DR. ANGELO D REPPUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 NORTHERN BLVD, SUITE 100, GREAT NECK, NY 11021-5200
(516) 482-3223
(516) 482-2533
Mailing address
600 NORTHERN BLVD, SUITE 100, GREAT NECK, NY 11021-5200
(516) 482-3223
(516) 482-2533
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
175078
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01590629
—
NY
Enumeration date
08/23/2005
Last updated
11/13/2007
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