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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1750607602 | NPPES |
| New York | MEDICAID | 03461016 |
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