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ANGELICA DETOMASO
NPI 1134582406
Specialist in Shirley, NY

Active since April 03, 2016
94 HOUNSLOW RD, SHIRLEY, NY 11967(631) 804-1485 Get Directions Write a Review

NPPES record last updated: April 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angelica Detomaso NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELICA DETOMASO (NPI 1134582406) is an individual specialist in Shirley, New York and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1134582406
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameANGELICA DETOMASO
Location Address94 HOUNSLOW RDShirley, NY 11967-2819
Mailing Address94 Hounslow RdShirley, NY 11967-2819 · (631) 804-1485
Phone(631) 804-1485
Sole ProprietorNo
Enumeration DateApril 3, 2016
✔ NPI 1134582406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
94 HOUNSLOW RD, Shirley, NY 11967
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelica Detomaso's NPI number?

The NPI number for Angelica Detomaso is 1134582406. It was assigned to this individual provider in the NPPES registry on April 3, 2016.

Where is Angelica Detomaso located?

Angelica Detomaso practices at 94 Hounslow Rd, Shirley, NY 11967. The listed phone number is (631) 804-1485.

What is Angelica Detomaso's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Angelica Detomaso was last updated on April 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.