Healthcare Provider Details

I. General information

NPI: 1447467022
Provider Name (Legal Business Name): ANGELA M SEELEY-HAY PA-C; NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA M SEELEY-HAY RN-BC

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 01/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 OCEAN PKWY
BROOKLYN NY
11235-7745
US

IV. Provider business mailing address

1545 FOREST AVE
NORTH BALDWIN NY
11510-1536
US

V. Phone/Fax

Practice location:
  • Phone: 718-616-3000
  • Fax: 718-616-4613
Mailing address:
  • Phone: 917-273-6415
  • Fax: 718-546-7678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number390156
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number006355
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF492199
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: