Search › New York › 208100000X
Jack Dangelo, M.D
NPI 1245204650 · on the registry since 2006 · sole proprietor
Practice
- Address
- 191 Bradley Ave
Staten Island, NY 10314 - Phone
- (917) 748-8341
- Fax
- (917) 970-9703
- Organisation at this address
- Herstel Therapie Inc
Jack Basil Dangelo Jr
Cohen Psychological Services, Pllc
Aqua Pura Limited Liability Company
Golden Gate Rehabilitation & Health Care Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 361 Edison St, Staten Island, NY
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York