Provider Demographics
NPI:1528225141
Name:PAOLERCIO, ANGELA JOANNE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:JOANNE
Last Name:PAOLERCIO
Suffix:
Gender:F
Credentials:REGISTERED NURSE
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Mailing Address - Street 1:1932 ARTHUR AVE RM 403B
Mailing Address - Street 2:THE BERGEN BLDG NYC DEPT OF HLTH SCHOOL HEALTH PROGRAM
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457
Mailing Address - Country:US
Mailing Address - Phone:718-579-6853
Mailing Address - Fax:718-579-6883
Practice Address - Street 1:3981 BRONXWOOD AVE
Practice Address - Street 2:OUR LADY OF GRACE SCHOOL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466
Practice Address - Country:US
Practice Address - Phone:718-325-8612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY4776091163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse