MRS. Diane Deluca-Patwell, C-PED
NPI #1003815556 in West Islip, New York
Provider Information
- NPI Number
- 1003815556
- Entity Type
- Individual
- Name
- MRS. Diane Deluca-Patwell, C-PED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Credential
- C-PED
- Enumeration Date
- Jul 18, 2005
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 400 MONTAUK HWY
- Address 2
- SUITE 113
- City
- West Islip
- State
- New York
- ZIP Code
- 11795-4429
- Phone
- (631) 321-1666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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