Provider Demographics
NPI:1619321346
Name:ANGELONE, KATE-LYNN
Entity Type:Individual
Prefix:
First Name:KATE-LYNN
Middle Name:
Last Name:ANGELONE
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 1:120 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:ISLAND PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11558-1834
Mailing Address - Country:US
Mailing Address - Phone:718-666-5822
Mailing Address - Fax:
Practice Address - Street 1:120 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:ISLAND PARK
Practice Address - State:NY
Practice Address - Zip Code:11558-1834
Practice Address - Country:US
Practice Address - Phone:718-666-5822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist