Individual
ALEXANDRA DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 CENTRAL AVE, AMITYVILLE, NY 11701-3537
(516) 582-4474
Mailing address
11 DAIL ST, NEW HYDE PARK, NY 11040-2434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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