Provider Demographics
NPI:1346040953
Name:ABATANGELO, DAVID LYNN
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:LYNN
Last Name:ABATANGELO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 JANET AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-1837
Mailing Address - Country:US
Mailing Address - Phone:330-327-5519
Mailing Address - Fax:
Practice Address - Street 1:1130 JANET AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-1837
Practice Address - Country:US
Practice Address - Phone:330-327-5519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant