Avanzato, John
Avanzato, John is an individual health care provider with primary practice located at 17 E Genesee St Ste 101, Auburn NY 13021-4112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Avanzato, John can be contacted via phone (315) 567-0490.Contact Information
Primary practice address
17 E Genesee St Ste 101
Auburn NY 13021-4112
Phone: (315) 567-0490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 176705 | New York |
Profile Details
| NPI number | 1689693004 |
|---|---|
| LBN Legal business name | Avanzato, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Feb 2nd, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689693004 | NPPES |
| New York | MEDICAID | 01256028 |
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