Individual
DR. ANGELO ANTHONY DELLA PIETRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DO
Contact information
Practice address
3 GRIST MILL LN, STANFORDVILLE, NY 12581-5823
(845) 454-4324
(845) 454-4295
Mailing address
3 GRIST MILL LN, STANFORDVILLE, NY 12581-5823
(845) 454-4324
(845) 454-4295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
197353
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01590692
—
NY
Enumeration date
11/21/2006
Last updated
09/10/2014
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