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Individual

MR. JOHN ANTHONY DELLA CHIESA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-8651
Mailing address
475 SEAVIEW AVE, DEPARTMENT OF SURGERY, STATEN ISLAND, NY 10305-3436
(718) 226-6461

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002942-1
NY

Other

Enumeration date
10/04/2006
Last updated
03/15/2015
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