Provider Demographics
NPI:1124843123
Name:D'ANGELO, GIANNA ELISE (MS)
Entity type:Individual
Prefix:
First Name:GIANNA
Middle Name:ELISE
Last Name:D'ANGELO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9027 SUTPHIN BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-3648
Mailing Address - Country:US
Mailing Address - Phone:718-526-8400
Mailing Address - Fax:718-297-8658
Practice Address - Street 1:9027 SUTPHIN BLVD STE 5
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-3648
Practice Address - Country:US
Practice Address - Phone:718-526-8400
Practice Address - Fax:718-297-8658
Is Sole Proprietor?:No
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator