Individual
DEENAMARIE INTERDONATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1401 FRANKLIN AVE, GARDEN CITY, NY 11530-1613
(516) 877-2626
Mailing address
2469 W 1ST ST, BROOKLYN, NY 11223-5928
(917) 476-1877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F344815-01
NY
Other
Enumeration date
12/30/2020
Last updated
08/29/2022
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