Individual provider · Type 1 NPI

John Angelo, PA-C

Surgical Physician Assistant · East Setauket, NY

NPI number 1912209347 Active

Practice location

6 Technology Dr Ste 100
East Setauket, NY 11733-4079

Fax (631) 751-5548

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X014323 (NY)
Surgical Physician Assistant Primary 363AS0400X014323 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1912209347

John Angelo, PA-C's National Provider Identifier is 1912209347, issued on Nov 17, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in East Setauket, NY. The record was last updated on May 17, 2019.