Healthcare Provider Details

I. General information

NPI: 1578596375
Provider Name (Legal Business Name): ANGELA STROE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 03/13/2020
Certification Date: 03/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 ELLA T GRASSO BLVD
NEW HAVEN CT
06519-5516
US

IV. Provider business mailing address

1 BRONXVILLE RD APT 5T
BRONXVILLE NY
10708-6155
US

V. Phone/Fax

Practice location:
  • Phone: 561-868-8767
  • Fax:
Mailing address:
  • Phone: 914-384-3746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number223679
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: