Provider Demographics
NPI:1548964406
Name:PIETRANGELO, MARY ELIZABETH ANNE
Entity type:Individual
Prefix:MRS
First Name:MARY ELIZABETH
Middle Name:ANNE
Last Name:PIETRANGELO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2113
Mailing Address - Country:US
Mailing Address - Phone:516-526-1005
Mailing Address - Fax:
Practice Address - Street 1:3800 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-2113
Practice Address - Country:US
Practice Address - Phone:516-526-1005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator