ANGELICA IRENE SUPANSIC

NEW YORK, NY
NPI1477954378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: NY  280787)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-09-10
Last Update Date2015-07-28
Business Address
-- ANGELICA IRENE SUPANSIC D.O.
160 BENNETT AVE LIGHTHOUSE PEDIATRICS
NEW YORK, NY 10040-3803
Phone number: 212-781-0800
Mailing Address
-- ANGELICA IRENE SUPANSIC D.O.
160 BENNETT AVE LIGHTHOUSE PEDIATRICS
NEW YORK, NY 10040-3803
Phone number: 212-781-0800