Individual
DR. VINCENT ROBERT DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
88 MEADOWFARM RD, EAST ISLIP, NY 11730-2909
(631) 581-4250
(631) 581-3993
Mailing address
88 MEADOWFARM RD, EAST ISLIP, NY 11730-2909
(631) 581-4250
(631) 581-3993
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
082537-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F18070
UPIN
NY
Enumeration date
01/21/2012
Last updated
01/21/2012
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