# TATIANA DELAURENTIIS, DPM, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841525425
- **Authorized official:** DR. TATIANA DELAURENTIIS D.P.M. (PRESIDENT)
- **Authorized official phone:** (917) 587-6209

## Contact information

- **Practice address:** 140 GRAND AVE, ENGLEWOOD, NJ 07631-6581
- **Practice address phone:** (201) 569-0212
- **Practice address fax:** (201) 569-7703
- **Mailing address:** 140 GRAND AVE, ENGLEWOOD, NJ 07631-6581
- **Mailing address phone:** (201) 569-0212
- **Mailing address fax:** (201) 569-7703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00296400 | NJ | Yes |

## Other

- **Enumeration date:** 10/15/2009
- **Last updated:** 10/15/2009