MEDICARE: ANGELA MARIE TRAPANI PHD

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	103TS0200X	School Psychologist	022077
2	103T00000X	Psychologist	022077	NY

General Provider Information

NPI Number	:	1952923401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MARIE TRAPANI PHD

Provider Business Mailing Address
First Line	:	34 ASHWOOD CT
Second Line	:
City	:	EAST NORTHPORT
State	:	NY
Zip	:	11731-2321
Country	:	US
Telephone Number	:	631-457-9870
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 ASHWOOD CT
Second Line	:
City	:	EAST NORTHPORT
State	:	NY
Zip	:	11731-2321
Country	:	US
Telephone Number	:	631-457-9870
Fax Number	:

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

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	02/19/2026

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