Heather A Angelillo (NPI# 1205029956, PAC ID# 0345325403) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1205029956 |
| PAC ID by PECOS | 0345325403 |
| Professional Enrollment ID | I20080313000206 |
| Full Name | Heather A Angelillo |
| Organization Legal Name | PREMIER PHYSICAL THERAPY OF LONG ISLAND PC |
| Address |
1 Terry St Patchogue NY 11772-1720 |
| Phone Number | 6313203993 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 4486820354 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1 Terry St, Patchogue, NY 11772-1720 | 6313203993 | PREMIER PHYSICAL THERAPY OF LONG ISLAND PC |
| Organization Legal Name | PREMIER PHYSICAL THERAPY OF LONG ISLAND PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew D Angelillo | Physical Therapy | Premier Physical Therapy of Long Island PC | 1 Terry St, Patchogue, NY 11772-1720 |
| Street Address |
1 TERRY ST |
| City | PATCHOGUE |
| State | NY |
| Zip | 11772-1720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew D Angelillo | Physical Therapy | Premier Physical Therapy of Long Island PC | 1 Terry St, Patchogue, NY 11772-1720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Horvath | Clinical Social Worker | 18 Woodward Ave, Patchogue, NY 11772-1041 | |
| Shahin F Shaikh | Pulmonary Disease | 90 Medford Ave, Patchogue, NY 11772-1202 | |
| Christine Marie Doucet | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rivkah E Raza | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Andrew S Wang | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Sam M Fassnacht | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Lyndie A Hughes | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rose Orlando | Nurse Practitioner | 140 Medford Ave, Patchogue, NY 11772-1208 | |
| Frances P Redarrow | Clinical Social Worker | 20 Medford Ave, Suite 109, Patchogue, NY 11772-1220 | |
| Edward A Beller | Chiropractic | 268 Medford Ave, Patchogue, NY 11772-1221 | |
| Find all physicians in zip 11772 | |||
| City | PATCHOGUE |
| Zip Code | 11772 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | PATCHOGUE + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Heather A Angelillo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.