Dangelo, Carmen

Dangelo, Carmen is an sole proprietor health care provider with primary practice located at 485 Titus Ave Ste D, Rochester NY 14617-3535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dangelo, Carmen can be contacted via phone (585) 544-5368.

Contact Information

Primary practice address
485 Titus Ave Ste D Rochester NY 14617-3535
Phone: (585) 544-5368
Fax: (585) 544-0036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 163205-1 New York

Profile Details

NPI number 1114927688
LBN Legal business name Dangelo, Carmen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2005
Last updated Feb 20th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114927688 NPPES
New York Other 101108BJ PREFERRED CARE
New York MEDICAID 01065296 PREFERRED CARE

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