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Angelica Champion
NPI 1538899117 · on the registry since 2022
Practice
- Address
- 11315 212th St
Queens Village, NY 11429 - Phone
- (718) 801-9257
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-15
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