Individual
MR. ANTHONY MICHAEL DEDONATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, RN-BC
Contact information
Practice address
420 E 76TH ST, NEW YORK, NY 10021-3396
(212) 434-5301
Mailing address
420 E 76TH ST, NEW YORK, NY 10021-3396
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402061
NY
Other
Enumeration date
08/28/2016
Last updated
03/04/2024
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