Provider Demographics
NPI:1013053677
Name:CIFONE, ANGELA (PHD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:CIFONE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 E 79TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0264
Mailing Address - Country:US
Mailing Address - Phone:212-580-4115
Mailing Address - Fax:212-988-5455
Practice Address - Street 1:74 E 79TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0264
Practice Address - Country:US
Practice Address - Phone:212-580-4115
Practice Address - Fax:212-988-5455
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012549-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical