Provider Demographics
NPI:1447467022
Name:SEELEY-HAY, ANGELA M (PA-C; NP)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:SEELEY-HAY
Suffix:
Gender:F
Credentials:PA-C; NP
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:M
Other - Last Name:SEELEY-HAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN-BC
Mailing Address - Street 1:1545 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-1536
Mailing Address - Country:US
Mailing Address - Phone:917-273-6415
Mailing Address - Fax:718-546-7678
Practice Address - Street 1:2601 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7745
Practice Address - Country:US
Practice Address - Phone:718-616-3000
Practice Address - Fax:718-616-4613
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390156163WW0101X
NY006355363A00000X
NYF492199363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant