Provider Demographics
NPI:1356504187
Name:ANGELOSANTE, ALETA G (PHD)
Entity Type:Individual
Prefix:
First Name:ALETA
Middle Name:G
Last Name:ANGELOSANTE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 1ST AVE
Mailing Address - Street 2:NYU CHILD STUDY CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6404
Mailing Address - Country:US
Mailing Address - Phone:212-263-0268
Mailing Address - Fax:
Practice Address - Street 1:577 1ST AVE
Practice Address - Street 2:NYU CHILD STUDY CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6404
Practice Address - Country:US
Practice Address - Phone:212-263-0268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017681103TB0200X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral