Individual
MS. CAROL ANN DELELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.O.
Contact information
Practice address
5305 ABBOTT RD, HAMBURG, NY 14075-1625
(716) 646-6381
Mailing address
5305 ABBOTT RD, HAMBURG, NY 14075-1625
(716) 646-6381
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006047
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166001780
—
NY
Enumeration date
11/29/2011
Last updated
11/29/2011
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