Provider Demographics
NPI:1174794820
Name:RIEMMA, ANGELA MARIE (AUD CCC/A FAAA)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARIE
Last Name:RIEMMA
Suffix:
Gender:F
Credentials:AUD CCC/A FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 WHITE PLAINS ROAD
Mailing Address - Street 2:ENT AND ALLERGY ASSOCIATES
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10591
Mailing Address - Country:US
Mailing Address - Phone:914-253-8070
Mailing Address - Fax:914-251-0868
Practice Address - Street 1:3020 WESTCHESTER AVE FL 3
Practice Address - Street 2:
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-2510
Practice Address - Country:US
Practice Address - Phone:914-253-8070
Practice Address - Fax:914-251-0868
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-20
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000462-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1174794820OtherNPI NUMBER
NY1174794820OtherNPI NUMBER
NYA400002157Medicare PIN