Individual
JOHN J DILALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 W 114TH ST, 2ND FLOOR, NEW YORK, NY 10025-1710
(212) 523-6635
Mailing address
160 BERKELEY PL, #3F, BROOKLYN, NY 11217-3642
(212) 523-6635
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
155596
MA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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