Individual
MRS. DEBORAH DIOTALLEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 693-9138
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-8138
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380644
NY
Other
Enumeration date
12/24/2007
Last updated
02/06/2012
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