Healthcare Provider Details

I. General information

NPI: 1700766151
Provider Name (Legal Business Name): PAOLA ANGELINI MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 1ST AVE
NEW YORK NY
10065-6038
US

IV. Provider business mailing address

145 W 96TH ST APT 6DE
NEW YORK NY
10025-6403
US

V. Phone/Fax

Practice location:
  • Phone: 646-425-6917
  • Fax:
Mailing address:
  • Phone: 646-425-6917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number338789
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: