Individual
DR. MICHAEL PAUL DELLACORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5901 69TH ST, MASPETH, NY 11378-2946
(718) 639-3338
(718) 639-5184
Mailing address
5901 69TH ST, MASPETH, NY 11378-2946
(718) 639-3338
(718) 639-5184
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003307-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00708723
—
NY
01
—
1029490001
MEDICARE DMERC
NY
Enumeration date
12/22/2005
Last updated
06/18/2009
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