Individual
MR. STEFON DEALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC, ACNP, RN
Contact information
Practice address
156 WILLIAM ST, NEW YORK, NY 10038-2609
(646) 962-5665
Mailing address
26 ROSE LN, OLD BRIDGE, NJ 08857-3210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
721961-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431239
NY
Other
Enumeration date
07/23/2017
Last updated
07/11/2023
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