| Doctor Name: | MR. MICHAEL JOSEPH DE ANGELIS |
| NPI Number: | 1346388279 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 016583 |
| Business Practice Address: | 3165 Highway 9w Saugerties, NY - 124775220 |
| Business Phone Number: | 8452472351 |
| Business Fax Number: | 8452472353 |
| Mailing Address: | 2210 Highway 9w, SAUGERTIES |
| State: | NY |
| Postal Code: | 124774773 |
| Phone Number: | 8453365537 |
| Fax Number: | 8452472353 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 016583 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |