Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist |
NPI | 1013671585 |
---|---|
Provider Name | Sarah Josephine Angeli |
First Address | Brooklyn, NY 11206-5317 |
Second Address | Brooklyn, NY 11206-5317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2021 |
Last Update Date | 29/10/2021 |