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GEORGINA PALCONIT DELOATCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-2904
Mailing address
1859 COLDEN AVE # IFL, BRONX, NY 10462-3112
(718) 518-8838
(718) 518-8838

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307365
NY

Other

Enumeration date
01/12/2017
Last updated
01/12/2017
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