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Individual
KIM DELTOSTA
Active
Individual
KIM DELTOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MS
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
581649111
NY
174400000X
Specialist
581650111
NY
174400000X
Specialist
665461121
NY
174400000X
Specialist
Primary
665462121
NY
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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