Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 223679 | NY |
NPI | 1578596375 |
---|---|
Provider Name | Angela Stroe |
First Address | Bronxville, NY 10708-6155 |
Second Address | New Haven, CT 06519-5516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 13/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H56265 | (02) | NY |