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NPI Code Detail

MEDICARE: DR. MICHAEL PAUL DELLACORTE DPM

MEDICARE: DR. MICHAEL PAUL DELLACORTE DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristN003307-1NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21029490001OTHERNYMEDICARE DMERC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205812146
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL PAUL DELLACORTE DPM
Provider Business Mailing Address
First Line : 5901 69TH ST
Second Line :
City : MASPETH
State : NY
Zip : 11378-2946
Country : US
Telephone Number : 718-639-3338
Fax Number : 718-639-5184
Provider Business Practice Location Address
First Line : 5901 69TH ST
Second Line :
City : MASPETH
State : NY
Zip : 11378-2946
Country : US
Telephone Number : 718-639-3338
Fax Number : 718-639-5184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 06/18/2009

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