Angelo, John
Angelo, John is an individual health care provider with primary practice located at 6 Technology Dr Ste 100 , East Setauket NY 11733-4079. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Angelo, John can be contacted via phone (631) 689-6698.Contact Information
Primary practice address
6 Technology Dr Ste 100
East Setauket NY 11733-4079
Phone: (631) 689-6698
Fax: (631) 751-5548
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 014323 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 014323 | New York |
Profile Details
NPI number | 1912209347 |
---|---|
LBN Legal business name | Angelo, John |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2010 |
Last updated | May 17th, 2019 - about 5 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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