Angeles, Carmichael

Angeles, Carmichael is an individual health care provider with primary practice located at 2500 Route 347 Bldg 14A, Stony Brook NY 11790-2554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Angeles, Carmichael can be contacted via phone (631) 689-7800.

Contact Information

Primary practice address
2500 Route 347 Bldg 14A Stony Brook NY 11790-2554
Phone: (631) 689-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2255725 New York

Profile Details

NPI number 1689671190
LBN Legal business name Angeles, Carmichael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jan 3rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689671190 NPPES
New York Other P2949859 OXFORD
New York MEDICAID 02410768 OXFORD
New York Other P00073812 OXFORD
New York Other 148301 OXFORD
New York Other 6X8591 OXFORD

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