National Provider Identifier
Anthony John Dellavalle, PA-C
Anthony John Dellavalle, PA-C is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Tonawanda, NY and a listed phone number of (716) 440-0359.
Profile Overview
- NPI
- 1245707934
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- October 31, 2018
- Last Updated
- June 18, 2020
Practice Location
- 341 Niagara Street
- Tonawanda, NY 14150
Phone: (716) 440-0359
Specialties
- Emergency Medicine Physician (207P00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1245707934
- Entity Type
- Individual
- Last Name
- Dellavalle
- First Name
- Anthony
- Middle Name
- John
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- 341 Niagara Street
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150
- Mailing Country
- US
- Mailing Phone
- (716) 440-0359
- Practice Street Address
- 341 Niagara Street
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150
- Practice Country
- US
- Practice Phone
- (716) 440-0359
- Enumeration Date
- October 31, 2018
- Last Updated
- June 18, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 2
- 193400000X Single Specialty Group
- Certification Date
- June 18, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X), Student in an Organized Health Care Education/Training Program (390200000X)