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General NPI Number Information
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NPI Number | 1548174204
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Entity Type | Organization
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Legal Business Name | ANGILELLA DARTLEY PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 30 E 20TH ST STE 5F
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City | NEW YORK
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State | NY
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Zip | 10003-1310
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Country | US
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Telephone | 917-696-7080
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Fax |
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Provider Business Mailing Address
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Address Line | 28 W NECK RD
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City | SOUTHAMPTON
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State | NY
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Zip | 11968-2229
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARYBETH ANGILELLA DARTLEY
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Credential | PHD
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Telephone | 917-696-7080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | NULL
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