Individual
MRS. DIANE DELUCA-PATWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-PED
Contact information
Practice address
400 MONTAUK HWY, SUITE 113, WEST ISLIP, NY 11795-4429
(631) 321-1666
(631) 321-1666
Mailing address
105 ARGYLE AVE, BABYLON, NY 11702-2600
(631) 669-0721
(631) 539-4370
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/18/2005
Last updated
07/09/2007
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