Deangelis, Dominique Rae
Deangelis, Dominique Rae is an individual health care provider with primary practice located at 5 Perryridge Rd , Greenwich CT 06830-4697. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Deangelis, Dominique Rae can be contacted via phone (203) 863-3000.Contact Information
Primary practice address
5 Perryridge Rd
Greenwich CT 06830-4697
Phone: (203) 863-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 031018 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 6374 | Connecticut |
Profile Details
| NPI number | 1245006147 |
|---|---|
| LBN Legal business name | Deangelis, Dominique Rae |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2023 |
| Last updated | Nov 30th, 2023 - about 2 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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