JACK BASIL DANGELO

STATEN ISLAND, NY
NPI1245204650
Other NameJACK BASIL D'ANGELO
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NY  195391)
Enumeration Date2006-02-14
Last Update Date2022-08-03
Business Address
DR. JACK BASIL DANGELO M.D.
191 BRADLEY AVE
STATEN ISLAND, NY 10314-5166
Phone number: 917-748-8341
Mailing Address
DR. JACK BASIL DANGELO M.D.
3 CARPENDER RD
NEW BRUNSWICK, NJ 08901-1501
Phone number: 732-545-5771
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