Provider Demographics
NPI:1548502560
Name:GOLDING, ANGELLA M (MS)
Entity type:Individual
Prefix:MS
First Name:ANGELLA
Middle Name:M
Last Name:GOLDING
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 MARTENSE ST
Mailing Address - Street 2:#3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-3283
Mailing Address - Country:US
Mailing Address - Phone:914-217-7099
Mailing Address - Fax:347-295-0225
Practice Address - Street 1:50 MARTENSE ST
Practice Address - Street 2:#3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-3283
Practice Address - Country:US
Practice Address - Phone:914-217-7099
Practice Address - Fax:347-295-0225
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1490220174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist