Doe, Angela Marie

Doe, Angela Marie is an individual health care provider with primary practice located at 80 Sharron Ave , Plattsburgh NY 12901-4700. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Doe, Angela Marie can be contacted via phone (518) 561-1447.

Contact Information

Primary practice address
80 Sharron Ave Plattsburgh NY 12901-4700
Fax: (518) 562-8812
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6029 New York

Profile Details

NPI number 1780847822
LBN Legal business name Doe, Angela Marie
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Jul 9th, 2008 - about 18 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 1780847822 NPPES
New York MEDICAID 01420800

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