Provider Demographics
NPI:1477730638
Name:ANGAROLA, ANGELES NATALIE
Entity Type:Individual
Prefix:MRS
First Name:ANGELES
Middle Name:NATALIE
Last Name:ANGAROLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-1226
Mailing Address - Country:US
Mailing Address - Phone:845-229-8236
Mailing Address - Fax:
Practice Address - Street 1:90 RIVER RD
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-1226
Practice Address - Country:US
Practice Address - Phone:845-229-8236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027796183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist