Individual
DANIELLE A ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
141 MARK TREE RD, CENTEREACH, NY 11720-2221
(631) 467-4235
Mailing address
30 CLOVER AVE, FARMINGVILLE, NY 11738-1612
(631) 219-8100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006848
NY
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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