Deangelis, Michael Richard

Deangelis, Michael Richard is an sole proprietor health care provider with primary practice located at 70 Glen St Ste 380 , Glen Cove NY 11542-2858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Deangelis, Michael Richard can be contacted via phone (516) 674-7074.

Contact Information

Primary practice address
70 Glen St Ste 380 Glen Cove NY 11542-2858
Phone: (516) 674-7074
Fax: (516) 674-4768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 185967 New York

Profile Details

NPI number 1609962539
LBN Legal business name Deangelis, Michael Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Nov 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609962539 NPPES
New York Other 542716 AETNA
New York Other P746167 AETNA
New York MEDICAID 01836722 AETNA
New York Other 185967 AETNA
New York Other 44543 AETNA
New York Other 113517950 AETNA
New York Other 6368053004 AETNA
New York Other 24044 AETNA
New York Other 113517950-001 AETNA
New York Other 477230 AETNA
New York Other 00000080229 AETNA
New York Other 113517950 AETNA
New York Other 1297667 AETNA
New York Other 2599070 AETNA
New York Other 2C4152 AETNA

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