ELLY G DELAPORTAS

HACKENSACK, NJ
NPI1679959290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ  26NJ00574600)
Enumeration Date2015-08-05
Last Update Date2022-07-21
Business Address
Mrs. ELLY G DELAPORTAS APN
20 PROSPECT AVE STE 615
HACKENSACK, NJ 07601-1997
Phone number: 551-996-5870
Mailing Address
Mrs. ELLY G DELAPORTAS APN
20 PROSPECT AVENUE SUITE 615
HACKENSACK, NJ 07601
Phone number: 551-996-5870
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