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Eva Stanganelli

Student in an Organized Health Care Education/Training Program in Coram, NY. Individual provider (NPI-1).

NPI number1982255469
StatusActive
Last updated in NPPESSep 25, 2019

Details

NPI
1982255469
Entity type
Individual (NPI-1)
Name
Eva Stanganelli
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 25, 2019
Last updated
Sep 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3600 Route 112
Coram, NY 11727-4116

Phone 631-920-8500 · Fax 631-920-8501

Mailing address

3600 Route 112
Coram, NY 11727-4116

Phone 631-920-8500 · Fax 631-920-8501

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