Provider Demographics
NPI:1992477970
Name:SANGALLI, TONI-MARIE
Entity type:Individual
Prefix:
First Name:TONI-MARIE
Middle Name:
Last Name:SANGALLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 RED BARN LN
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-3700
Mailing Address - Country:US
Mailing Address - Phone:914-262-4404
Mailing Address - Fax:
Practice Address - Street 1:9 RED BARN LN
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-3700
Practice Address - Country:US
Practice Address - Phone:914-262-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY592255163WG0000X, 163WM0705X, 163WP0200X, 163WP2201X, 163WS0121X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery