Individual
ANTONIA DELLEDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
183-02 64TH AVE, FRESH MEADOWS, NY 11365
(347) 322-5222
Mailing address
18302 64TH AVE, FRESH MEADOWS, NY 11365-2107
(347) 322-5222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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