ANGELO LAGRECA MD NPI 1457376063

NPI Information

NPI: 1457376063
Provider Name: ANGELO LAGRECA, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
622 W 168TH ST
NEW YORK, NY
ZIP 10032
Phone: (212) 305-9335
Get Directions

Angelo Lagreca, MD is a diagnostic radiology radiology in New York, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Angelo Lagreca, MD NPI is 1457376063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

622 W 168TH ST
NEW YORK, NY
ZIP 10032-720
Phone: (212) 305-9335
Fax: (212) 305-8636

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	81500-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	20E871	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	01073849	MEDICAID	NEW YORK
3	B09784	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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