Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 293727 | NY |
NPI | 1003226218 |
---|---|
Provider Name | Dr. Angelica Rosa Angiulli |
First Address | Bronx, NY 10461-2301 |
Second Address | Bronx, NY 10461 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2014 |
Last Update Date | 24/07/2018 |