Individual
LETICIA R. DACONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 NOTT ST DEPT OF, SCHENECTADY, NY 12308-2425
(518) 243-1916
(518) 243-1853
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
288179
NY
Other
Enumeration date
04/14/2014
Last updated
05/24/2017
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