Individual provider · NPI-1

Diana Elizabeth Angi, ATC, OPA-C

Specialist/Technologist, Athletic Trainer · New York, NY

NPI number1215086889
StatusActive
Last updated in NPPESDec 6, 2011

Details

NPI
1215086889
Entity type
Individual (NPI-1)
Name
Miss Diana Elizabeth Angi
Credential
ATC, OPA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 10, 2007
Last updated
Dec 6, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer001358NYYes

Practice location

622 W 168th St
Ph 11
New York, NY 10032-3720

Phone 212-305-4626

Mailing address

15 Freedomway
410
Jersey City, NJ 07305-5497

Phone 914-261-1920

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