Avanzato, Cheryl

Avanzato, Cheryl is an individual health care provider with primary practice located at 1212 Driving Park Ave , Newark NY 14513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Avanzato, Cheryl can be contacted via phone (315) 332-2241.

Contact Information

Primary practice address
1212 Driving Park Ave Newark NY 14513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 180979 New York

Profile Details

NPI number 1962470187
LBN Legal business name Avanzato, Cheryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962470187 NPPES
New York MEDICAID 01188958

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