Provider Demographics
NPI:1497520688
Name:HUNT, ANGELO II
Entity Type:Individual
Prefix:MR
First Name:ANGELO
Middle Name:
Last Name:HUNT
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 W 174TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-8203
Mailing Address - Country:US
Mailing Address - Phone:929-590-9482
Mailing Address - Fax:
Practice Address - Street 1:555 W 174TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-8203
Practice Address - Country:US
Practice Address - Phone:929-590-9482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator