JACK BASIL DANGELO JR

STATEN ISLAND, NY
NPI1972236131
Entity TypeOrganization
Authorized ContactJACK D'ANGELO
President
917-748-8341
Organization Subpart ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
Enumeration Date2022-07-06
Last Update Date2022-07-06
Business Address
JACK BASIL DANGELO JR
191 BRADLEY AVE
STATEN ISLAND, NY 10314-5166
Phone number: 917-748-8341
Mailing Address
JACK BASIL DANGELO JR
3 CARPENDER RD
NEW BRUNSWICK, NJ 08901-1501
Phone number: 917-748-8341
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