Jack Basil Dangelo in Staten Island - Physical Medicine & Rehabilitation
Jack Basil Dangelo - NPI 1245204650
Jack Basil Dangelo is a Physical Medicine & Rehabilitation in Staten Island, New York. Jack Basil Dangelo practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Jack Basil Dangelo is 1245204650. The last update date is 2022-08-03.
Jack Basil Dangelo's current location address is 191 Bradley Ave, Staten Island, New York. You can contact this provider via phone number 9177488341 and fax number 9179709703. The mailing address for Jack Basil Dangelo is 191 Bradley Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Basil Dangelo |
|---|---|
| Address | 191 Bradley Ave, Staten Island, New York |
| Phone Number | 9177488341 |
| Fax Number | 9179709703 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245204650 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2022-08-03 |
Provider Mailing Address Detail
| Address | 191 Bradley Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103145166 |
| Phone Number | 9177488341 |
| Fax Number | 9179709703 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Medicine & Rehabilitation |
|---|---|
| Taxonomy | 208100000X |
| Licence No | 195391 |
|
Definition: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1484220 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jack Basil Dangelo by the Centers for Medicare & Medicaid Services?
The Jack Basil Dangelo has been assigned the NPI (National Provider Identifier) 1245204650 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jack Basil Dangelo located?
The Jack Basil Dangelo is located at 191 Bradley Ave, Staten Island, NY 103145166.
What is the Jack Basil Dangelo's area of specialization and corresponding taxonomy classification?
The Jack Basil Dangelo's specialty field is Physical Medicine & Rehabilitation, and it falls under the taxonomy code 208100000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1245204650 to Jack Basil Dangelo?
The Centers for Medicare & Medicaid Services assigned the 1245204650 to Jack Basil Dangelo on 2006-02-14.
As of what date was the information pertaining to Jack Basil Dangelo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jack Basil Dangelo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-08-03.