Dangelo, Katlyn Marie
Dangelo, Katlyn Marie is an sole proprietor health care provider with primary practice located at 5000 E Henrietta Rd Apt A4 , Henrietta NY 14467-8927. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Dangelo, Katlyn Marie can be contacted via phone (585) 474-3200.Contact Information
Primary practice address
5000 E Henrietta Rd Apt A4
Henrietta NY 14467-8927
Phone: (585) 474-3200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 335935 | New York |
Profile Details
| NPI number | 1871124867 |
|---|---|
| LBN Legal business name | Dangelo, Katlyn Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2020 |
| Last updated | Jan 29th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871124867 | NPPES |
| New York | MEDICAID | 335935 |
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