Individual provider · Type 1 NPI

Kim Deltosta, BA, MS

Specialist · Oswego, NY

NPI number 1134546500 Active

Practice location

159 W 1st St
Oswego, NY 13126-2045

Call (315) 342-9575 Map

Mailing address

PO Box 135
Brownville, NY 13615-0135

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X581649111 (NY)
Specialist 174400000X581650111 (NY)
Specialist Primary 174400000X665462121 (NY)
Specialist 174400000X665461121 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1134546500

Kim Deltosta, BA, MS's National Provider Identifier is 1134546500, issued on Mar 24, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oswego, NY. The record was last updated on Mar 24, 2014.