Provider Demographics
NPI:1922347905
Name:D'ANGIO, JOANNE
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:D'ANGIO
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 1:51 SMITH ST
Mailing Address - Street 2:APT C5
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3426
Mailing Address - Country:US
Mailing Address - Phone:516-313-6608
Mailing Address - Fax:
Practice Address - Street 1:51 SMITH ST
Practice Address - Street 2:APT C5
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3426
Practice Address - Country:US
Practice Address - Phone:516-313-6608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY095962164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse