MEDICARE: MRS. LYNDA ANGIER RN

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
1	163WS0200X	School Registered Nurse	631112	NY

General Provider Information

NPI Number	:	1205111671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LYNDA ANGIER RN

Provider Business Mailing Address
First Line	:	CALL BOX A
Second Line	:
City	:	SAUGERTIES
State	:	NY
Zip	:	12477
Country	:	US
Telephone Number	:	845-247-6920
Fax Number	:	845-246-4103

Provider Business Practice Location Address
First Line	:	744 GLASCO TURNPIKE
Second Line	:
City	:	MOUNT MARION
State	:	NY
Zip	:	12456
Country	:	US
Telephone Number	:	845-247-6920
Fax Number	:	845-246-4103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2011
Last Update Date	:	11/19/2019

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