Mary Nackley Deangelo in Utica - Clinical
Mary Nackley Deangelo - NPI 1407809536
Mary Nackley Deangelo is a Clinical in Utica, New York. Mary Nackley Deangelo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Nackley Deangelo is 1407809536. The last update date is 2008-06-27.
Mary Nackley Deangelo's current location address is 1427 Genesee St, Utica, New York. You can contact this provider via phone number 3157381428 and fax number 3157381461. The mailing address for Mary Nackley Deangelo is 1427 Genesee St, Utica, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Nackley Deangelo |
|---|---|
| Address | 1427 Genesee St, Utica, New York |
| Phone Number | 3157381428 |
| Fax Number | 3157381461 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1407809536 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2008-06-27 |
Provider Mailing Address Detail
| Address | 1427 Genesee St |
|---|---|
| City | Utica |
| State | New York (NY) |
| Post Code | 1350143430 |
| Phone Number | 3157381428 |
| Fax Number | 3157381461 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 69220 |
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What is the unique 10-digit identification code issued to Mary Nackley Deangelo by the Centers for Medicare & Medicaid Services?
The Mary Nackley Deangelo has been assigned the NPI (National Provider Identifier) 1407809536 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Mary Nackley Deangelo?
The Mary Nackley Deangelo is physically situated at 1427 Genesee St, in the city of Utica, state of NY, with the postal code 1350143430.
What is the Mary Nackley Deangelo's area of specialization and corresponding taxonomy classification?
The Mary Nackley Deangelo's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1407809536 to Mary Nackley Deangelo?
The Mary Nackley Deangelo received its 1407809536 assignment from the Centers for Medicare & Medicaid Services on 2006-05-18.
As of what date were the Mary Nackley Deangelo's details last updated?
The information pertaining to the Mary Nackley Deangelo, including its address, specialty, and other details, was most recently updated on 2008-06-27.