Individual
DR. JOHN ROBERT DELISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11 MEDICAL PARK DR, SUITE 104, POMONA, NY 10970-3559
(845) 354-5180
(845) 354-4104
Mailing address
25 NANSEN CT, SPRING VALLEY, NY 10977-3143
(845) 352-0362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
12151
CA
111N00000X
Chiropractor
38MC00173800
NJ
111N00000X
Chiropractor
Primary
X011091-1
NY
Other
Enumeration date
10/31/2006
Last updated
10/05/2010
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