Whalio Doctors

NPI 1083852214

Tracy Colangelo

Practitioner Contractor Deer Park, NY

Practice location

Address
689 Nicolls Rd, Deer Park, NY 11729-2725
Phone
(631) 300-6153

Registered specialties (2)

Contractor Primary
Other Service Providers Taxonomy 171W00000X Licence 281474091 (NY)
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X

Registry record

NPI
1083852214
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Jan 2009
Record last updated
6 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.