Individual
IMELDA DELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SOUTHERN BLVD, NESCONSET, NY 11767-1749
(631) 361-8800
Mailing address
1137 BROOKDALE AVE, BAY SHORE, NY 11706-1805
(631) 242-7472
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
342378021205E
NY
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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