Provider Demographics
NPI:1972613495
Name:GARRIDO, ANGELO
Entity Type:Individual
Prefix:
First Name:ANGELO
Middle Name:
Last Name:GARRIDO
Suffix:
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 1:877 STEWART AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4803
Mailing Address - Country:US
Mailing Address - Phone:516-222-0722
Mailing Address - Fax:516-683-0184
Practice Address - Street 1:877 STEWART AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4803
Practice Address - Country:US
Practice Address - Phone:516-222-0722
Practice Address - Fax:516-683-0184
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173964207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0200785OtherGHI
NY113141668007OtherCIGNA
NY4133122OtherAETNA PPO/POS
NY708715OtherAETNA HMO
NY71555OtherGHI HMO
NYNS0001321OtherSELECT PRO
NY55F9910OtherBLUE CHOICE
NY26820349OtherBEECH STREET
NYAP323OtherOXFORD
NYOC7420OtherPHS (HEALTHNET)
NY113141668OtherMULTI PLAN
NY1227148OtherUNITED HEALTHCARE
NYAA71975OtherMDNY
NY113141668OtherHORIZON
NY113141668OtherMAGNA CARE
NY113141668OtherPHCS
NY14365OtherVYTRA
NY005F9910OtherEMPIRE PLAN
NY113141668OtherPHCS
NY71555OtherGHI HMO