MEDICARE: ANGELICA E CARCHI

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1285354324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA E CARCHI

Provider Business Mailing Address
First Line	:	3427 STEINWAY ST
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-8606
Country	:	US
Telephone Number	:	718-712-3358
Fax Number	:

Provider Business Practice Location Address
First Line	:	3427 STEINWAY ST
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-8606
Country	:	US
Telephone Number	:	718-712-3358
Fax Number	:

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

Provider Enumeration Date	:	08/30/2022
Last Update Date	:	08/30/2022

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Directions to “ ANGELICA E CARCHI ” Practice Location

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