Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 191559 | NY |
NPI | 1104926096 |
---|---|
Provider Name | Dr. Arthur John Deluca |
First Address | Astoria, NY 11103-3809 |
Second Address | Astoria, NY 11103-3809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 13/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02008735 | (05) | NY |
H57301 | (02) | NY |