Doctor Name: | DR. ANGELO P ARENA |
NPI Number: | 1962545889 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 082975 |
Business Practice Address: | 450 Fulton St Hannibal, NY - 13074 |
Business Phone Number: | 3155646482 |
Business Fax Number: | 3155647416 |
Mailing Address: | 450 Fulton St, HANNIBAL |
State: | NY |
Postal Code: | 13074 |
Phone Number: | 3155646482 |
Fax Number: | 3155647416 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 11/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 082975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |