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1194258277
MICHAEL DIVELLA
EAST MEADOW, NY
NPI
1194258277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-06
Last Update Date
2017-04-06
Business Address
Dr. MICHAEL DIVELLA DO
2201 HEMPSTEAD TURNPIKE
EAST MEADOW, NY 11554
Phone number: 516-296-2388
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Mailing Address
Dr. MICHAEL DIVELLA DO
449 MCCOMBS RD
VENETIA, PA 15367-1385
Phone number: 724-986-7844
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