Angela McIvor
Student in an Organized Health Care Education/Training Program in Bayport, NY. Individual provider (NPI-1).
NPI number1750771978
StatusActive
Last updated in NPPESJan 26, 2015
Details
- NPI
- 1750771978
- Entity type
- Individual (NPI-1)
- Name
- Angela McIvor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2015
- Last updated
- Jan 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
693 Middle RdBayport, NY 11705-1923
Phone 631-466-8121
Mailing address
693 Middle RdBayport, NY 11705-1923
Phone 631-466-8121
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