NPI | 1093261398 |
---|---|
Professional Name | ANTONY MICHAEL DEDONATIS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402061) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2024-03-04 |