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Paul Dequillfeldt, ATC
Specialist in Massapequa, New York
NPI 1245782234

Paul Dequillfeldt is a Specialist based in Massapequa, NY. Paul Dequillfeldt practices in Massapequa, NY and has the professional credentials of ATC. The NPI Number for Paul Dequillfeldt is 1245782234 and holds a License No. 67-003215 (New York).

The current practice location address for Paul Dequillfeldt is 5700 Merrick Rd, Massapequa, NY and can be reached out via phone at 516-798-9605.

Location: 5700 Merrick Rd, Massapequa, NY, 11758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245782234
Provider Name
Paul Dequillfeldt
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
5700 Merrick Rd, Massapequa, NY, 11758
Phone Number
516-798-9605
Fax Number
Provider Enumeration Date
10/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5700 Merrick Rd
City
Massapequa
State
New York
Zip
11758
Phone Number
516-798-9605
Fax Number
person
Provider Business Mailing Address Details
Address
5700 Merrick Rd
City
Massapequa
State
New York
Zip
11758
Phone Number
516-798-9605
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
67-003215 (New York)
Definition
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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