Healthcare Provider Details

I. General information

NPI: 1134370661
Provider Name (Legal Business Name): ANGELA R ALBERTI PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2008
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27TH ST. AND 1ST AVE.
NEW YORK NY
10016-9196
US

IV. Provider business mailing address

67 WOLCOTT RD
LEVITTOWN NY
11756-1930
US

V. Phone/Fax

Practice location:
  • Phone: 212-562-3917
  • Fax:
Mailing address:
  • Phone: 516-351-7322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: