Deangelis, Nancy L.

Deangelis, Nancy L. is an individual health care provider with primary practice located at 1427 Genesee St , Utica NY 13501-4343. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Deangelis, Nancy L. can be contacted via phone (315) 738-1428.

Contact Information

Primary practice address
1427 Genesee St Utica NY 13501-4343
Fax: (315) 738-1461
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 11580 New York

Profile Details

NPI number 1609058205
LBN Legal business name Deangelis, Nancy L.
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Sep 18th, 2008 - about 17 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 1609058205 NPPES
New York MEDICAID 01039156

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