Individual provider · Type 1 NPI
Justine Delise
Specialist · Smithtown, NY
NPI number
1467858084
Active
Practice location
8 Coventry Ln
Smithtown, NY 11787-3884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 008506-1 (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 1467858084
Justine Delise's National Provider Identifier is 1467858084, issued on Nov 10, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Smithtown, NY. The record was last updated on Nov 10, 2014.