Angle, Richard

Angle, Richard is an sole proprietor health care provider with primary practice located at 412 6Th Ave Ste 605 , New York NY 10011-8409. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Angle, Richard can be contacted via phone (212) 886-1886.

Contact Information

Primary practice address
412 6Th Ave Ste 605 New York NY 10011-8409
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 015169-1 New York

Profile Details

NPI number 1336190636
LBN Legal business name Angle, Richard
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Sep 23rd, 2011 - about 14 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 1336190636 NPPES
New York MEDICAID 02362554

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