| 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 |