Provider Demographics
NPI:1508170374
Name:ALIANIELLO, ANGELA M (ANGELA ALIANIELLO)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:ALIANIELLO
Suffix:
Gender:F
Credentials:ANGELA ALIANIELLO
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:ALIANIELLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ANGELA ALIANIELLO
Mailing Address - Street 1:389 E 89TH ST
Mailing Address - Street 2:APT 22D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5067
Mailing Address - Country:US
Mailing Address - Phone:212-427-1084
Mailing Address - Fax:
Practice Address - Street 1:1033 SAINT NICHOLAS AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3806
Practice Address - Country:US
Practice Address - Phone:212-795-3218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048273-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist