Individual
AVANELLE DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
265 BROADHOLLOW RD, MELVILLE, NY 11747-4833
(631) 759-4445
Mailing address
265 BROADHOLLOW RD, MELVILLE, NY 11747-4833
(631) 759-4445
(631) 760-5231
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
221514
NY
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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