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Linda Liu Angelino, PA-C

Physician Assistant in Bay Shore, NY. Individual provider (NPI-1).

NPI number1639616741
StatusActive
Last updated in NPPESNov 20, 2025

Details

NPI
1639616741
Entity type
Individual (NPI-1)
Name
Linda Liu Angelino
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2017
Certification date
Nov 20, 2025
Last updated
Nov 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Other names

  • Linda Liu (Former Name)

Practice location

301 E Main St
Bay Shore, NY 11706-8408

Phone 631-968-3000

Mailing address

301 E Main St
Bay Shore, NY 11706-8408

Phone 516-643-3912

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