Individual
KATHLEEN ANN DELANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4 UPHAM DOWN, SHOREHAM, NY 11786-1454
(214) 794-6616
Mailing address
4 UPHAM DOWN, SHOREHAM, NY 11786-1454
(214) 794-6616
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
149729
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149729
STATE LICENSE
NY
Enumeration date
04/12/2006
Last updated
06/13/2023
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