Individual
JOHN A DEBELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3201 GRAND CONCOURSE, BRONX, NY 10468-1247
(718) 365-6363
Mailing address
37-41 91ST, JACKSON HEIGHTS, NY 13372
(718) 365-6363
(718) 365-2903
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004819 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01221810
—
NY
Enumeration date
06/07/2006
Last updated
12/06/2011
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