Provider Demographics
NPI:1255925012
Name:CAREY, ANGELA ROSE (PA)
Entity type:Individual
Prefix:MISS
First Name:ANGELA
Middle Name:ROSE
Last Name:CAREY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:80 MYLES AVE
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1717
Mailing Address - Country:US
Mailing Address - Phone:516-784-0580
Mailing Address - Fax:
Practice Address - Street 1:611 MERRICK AVE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-3703
Practice Address - Country:US
Practice Address - Phone:516-794-7969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical