Jack Basil Dangelo Jr
Jack Basil Dangelo Jr is a Physical Medicine & Rehabilitation Physician in Staten Island, New York. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
191 Bradley AveStaten Island, NY 10314-5166
Phone: (917) 748-8341
Fax: (917) 970-9703
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Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X |
|---|
Record details
| NPI number | 1972236131 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack D'Angelo — President · (917) 748-8341 |
| NPI enumerated | July 6, 2022 |
| Last updated in NPPES | July 6, 2022 |
| Certification date | July 6, 2022 |
| Mailing address | 3 Carpender Rd, New Brunswick, NJ 08901-1501 |
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