Angelica Irene Supansic
D.O. | Pediatrics | Female
Angelica Irene Supansic, D.O. is a New York, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Angelica Irene Supansic is
160 Bennett Ave, Lighthouse Pediatrics, New York, New York - 10040-3803. She can be contacted on phone at
212-781-0800.
Angelica Irene Supansic is a sole proprietor of her business.
NPI number (Unique professional ID) for Angelica Irene Supansic is
1477954378 which was assigned by NPPES on 10 Sep, 2014 and it was last updated on 28 Jul, 2015.
Angelica Irene Supansic license number is
280787 for Pediatrics (208000000X) in New York.
Angelica Irene Supansic is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Angelica Irene Supansic basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Angelica Irene Supansic |
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| Credential : | D.O. |
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| Gender : | Female |
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Business Address:
Angelica Irene Supansic address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 160 Bennett Ave, Lighthouse Pediatrics
New York, NY, 10040-3803
United States |
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| Phone Number : | 212-781-0800 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1477954378 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Sep, 2014 |
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| Last Updated On : | 28 Jul, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angelica Irene Supansic are as mentioned. Primary taxonomy code for Angelica Irene Supansic, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | 280787 | NY |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 160 Bennett Ave, Lighthouse Pediatrics
New York, NY, 10040-3803
United States |
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| Phone Number : | 212-781-0800 |
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Business Location:
Patients can refer following map for directions to
Angelica Irene Supansic practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.