Individual
DYLLAN ALBIANI-GROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
5216 MARIE CT, NORTH TONAWANDA, NY 14120-9593
(716) 525-3512
Mailing address
5216 MARIE CT, NORTH TONAWANDA, NY 14120-9593
(716) 525-3512
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
431760
NY
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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