Todd, Angela Henry
Todd, Angela Henry is an sole proprietor health care provider with primary practice located at 21949 Jamaica Ave , Queens Village NY 11428-2154. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Todd, Angela Henry can be contacted via phone (718) 217-5336.Contact Information
Primary practice address
21949 Jamaica Ave
Queens Village NY 11428-2154
Phone: (718) 217-5336
Fax: (718) 217-5348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 173659 | New York |
Profile Details
| NPI number | 1578596607 |
|---|---|
| LBN Legal business name | Todd, Angela Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578596607 | NPPES |
| New York | MEDICAID | 01205710 |
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