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Contact Information

MICHAEL R DEANGELIS, D.O
70 GLEN ST STE 380
GLEN COVE, NY11542-2858
 Phone: 516-674-7074
 Fax: 516-674-4768
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL R DEANGELIS · (Male)

NPI # 1609962539
Status Active
Credentials D.O
Entity Individual
Enumeration date 10/05/2006
Last updated 11/17/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 185967
  • NY Medicaid 01836722
  • Other 00000080229 BETTER HEALTH
  • Other 6368053004 CIGNA
  • Other 2599070 GHI
  • Other 2C4152 HEALTHNET
  • Other 185967 HIP
  • Other 113517950 MAGNACARE
  • Other 113517950 MULTIPLAN
  • Other P746167 OXFORD
  • Other 477230 PHCS
  • Other 113517950-001 PRUDENTIAL
  • Other 1297667 UNITED HEALTHCARE
  • Other 44543 VYTRA
  • NY Other 542716 AETNA
  • NY Other 24044 ANTHEM
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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