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NPI Code Detail

MEDICARE: GIANNA ELISE D'ANGELO MS

MEDICARE: GIANNA ELISE D'ANGELO MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1124843123
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIANNA ELISE D'ANGELO MS
Provider Business Mailing Address
First Line : 9027 SUTPHIN BLVD STE 5
Second Line :
City : JAMAICA
State : NY
Zip : 11435-3648
Country : US
Telephone Number : 718-526-8400
Fax Number : 718-297-8658
Provider Business Practice Location Address
First Line : 9027 SUTPHIN BLVD STE 5
Second Line :
City : JAMAICA
State : NY
Zip : 11435-3648
Country : US
Telephone Number : 718-526-8400
Fax Number : 718-297-8658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2024
Last Update Date : 11/15/2024

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Directions to “ GIANNA ELISE D'ANGELO MS” Practice Location

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