Individual
DR. DENISE LETTERIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1444 WESTERN AVE, SUITE D, ALBANY, NY 12203-3458
(518) 452-0587
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
206414
NY
208000000X
Pediatrics Physician
206414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01766325
—
NY
Enumeration date
08/16/2005
Last updated
05/19/2021
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