Provider Demographics
NPI:1134668809
Name:ANG, TONI LORRAINE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:TONI LORRAINE
Middle Name:
Last Name:ANG
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SPRING HILL TER
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-7021
Mailing Address - Country:US
Mailing Address - Phone:845-548-8110
Mailing Address - Fax:
Practice Address - Street 1:50 SPRING HILL TER
Practice Address - Street 2:
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977-7021
Practice Address - Country:US
Practice Address - Phone:845-548-8110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-14
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341637363LF0000X
NY655354163W00000X
NJ26NR18320400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse