Individual provider · Type 1 NPI

Angelica Detomaso

Specialist · Shirley, NY

NPI number 1134582406 Active

Practice location

94 Hounslow Rd
Shirley, NY 11967-2819

Call (631) 804-1485 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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.

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About NPI 1134582406

Angelica Detomaso's National Provider Identifier is 1134582406, issued on Apr 3, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Shirley, NY. The record was last updated on Apr 3, 2016.