Individual
MRS. ELLY G DELAPORTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
20 PROSPECT AVE STE 615, HACKENSACK, NJ 07601-1997
(551) 996-5870
(551) 996-0774
Mailing address
20 PROSPECT AVENUE SUITE 615, HACKENSACK, NJ 07601
(551) 996-5870
(551) 996-0774
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00574600
NJ
Other
Enumeration date
08/05/2015
Last updated
07/21/2022
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