JESSICA ALICE D'ANGELO NPI 1609297803

NPI Information

  • NPI: 1609297803
  • Provider Name: JESSICA ALICE D'ANGELO
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 3474 113TH ST
    CORONA, NY
    ZIP 11368
  • Phone: (718) 429-5700

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NPI Details

Jessica Alice D'angelo is a specialist in Corona, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jessica Alice D'angelo NPI is 1609297803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3474 113TH ST
CORONA, NY
ZIP 11368-455
Phone: (718) 429-5700

The enumeration date for this NPI number is 12/16/2013 and was last updated on 9/15/2015.

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
1174400000XSpecialistNEW YORKYes

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: 11/21/2025

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