Individual
CASSANDRA DELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 E 80TH ST, BROOKLYN, NY 11236-3311
(347) 831-9527
Mailing address
651 E 80TH ST APT 1, BROOKLYN, NY 11236-3311
(347) 831-9527
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
314770-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RU64079G
—
NY
Enumeration date
02/24/2014
Last updated
02/24/2014
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