Angelo Smaldino | Port Washington, NY • PECOS Search

Angelo Smaldino

Social Worker

Behavioral Health & Social Service Providers

17 South Maryland Ave, Port Washington, NY 11050

PECOS Enrollment

Based on the most recent information from CMS, provider Angelo Smaldino does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1902920465
Provider Type
Individual
Full Name
Smaldino, Angelo
Title
Mr.
Credential
MSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/19/2007
Last Updated
7/8/2007

Contact Information

Practice Location

17 South Maryland Ave, Port Washington, NY 11050

Unlisted Fax

Mailing Location

17 South Maryland Ave, Port Washington, NY 11050

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License R017301 New York