Individual
MR. DAVID PAUL DEACETIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 E JERICHO TPKE, MINEOLA, NY 11501-3103
(516) 873-1998
(516) 873-7235
Mailing address
17 E JERICHO TPKE, MINEOLA, NY 11501-3103
(516) 873-1998
(516) 873-7235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
046369
NY
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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