Adrianna Deangelis, MSSPED
Individual provider Active NPI Specialist · Malverne, NY
NPI 1003170267 · NPPES record last updated Jul 2, 2012
Key facts
- NPI
- 1003170267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 167 Rolling St
Malverne, NY 11565-2340 - Phone
- (516) 593-8549
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Yes |
Addresses
Primary practice location
167 Rolling St
Malverne, NY 11565-2340
Mailing address
167 Rolling St
Malverne, NY 11565-2340
Phone (516) 593-8549
Other providers in Malverne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.