Provider Demographics
NPI:1184872707
Name:DELOTTO, RITA (RN)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:
Last Name:DELOTTO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:RITA
Other - Middle Name:
Other - Last Name:LALAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4978 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-9487
Mailing Address - Country:US
Mailing Address - Phone:716-685-2053
Mailing Address - Fax:716-685-2053
Practice Address - Street 1:3527 HARLEM RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1552
Practice Address - Country:US
Practice Address - Phone:716-833-9000
Practice Address - Fax:716-833-9037
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335383-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse