Avitabile, Nicholas Alexander

Avitabile, Nicholas Alexander is an individual health care provider with primary practice located at 855 State Route 17M , Monroe NY 10950-1600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Avitabile, Nicholas Alexander can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
855 State Route 17M Monroe NY 10950-1600
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 264177 New York

Profile Details

NPI number 1750607602
LBN Legal business name Avitabile, Nicholas Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2010
Last updated Jul 31st, 2020 - about 5 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 1750607602 NPPES
New York MEDICAID 03461016

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