Individual
ANNETTE LOUISE DALEZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2631
Mailing address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019422
NY
Other
Enumeration date
01/09/2016
Last updated
12/31/2016
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