Dangelo, Katlyn Marie

Dangelo, Katlyn Marie is an sole proprietor health care provider with primary practice located at 5000 E Henrietta Rd Apt A4 , Henrietta NY 14467-8927. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Dangelo, Katlyn Marie can be contacted via phone (585) 474-3200.

Contact Information

Primary practice address
5000 E Henrietta Rd Apt A4 Henrietta NY 14467-8927
Phone: (585) 474-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 335935 New York

Profile Details

NPI number 1871124867
LBN Legal business name Dangelo, Katlyn Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2020
Last updated Jan 29th, 2020 - about 4 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 1871124867 NPPES
New York MEDICAID 335935

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