Avelino, Rossana I

Avelino, Rossana I is an individual health care provider with primary practice located at 3440 Market St Suite 200, Philadelphia PA 19104-3325. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Avelino, Rossana I can be contacted via phone (215) 590-7555.

Contact Information

Primary practice address
3440 Market St Suite 200 Philadelphia PA 19104-3325
Fax: (215) 590-7387
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD075600L Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD075600L Pennsylvania

Profile Details

NPI number 1457464489
LBN Legal business name Avelino, Rossana I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jan 12th, 2009 - about 16 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 1457464489 NPPES
Pennsylvania MEDICAID 01956144-0001

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