Defelice, Amy

Defelice, Amy is an individual health care provider with primary practice located at 3959 Broadway Columbia Universty Department Pediatrics, New York NY 10032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Defelice, Amy can be contacted via phone (212) 304-7250.

Contact Information

Primary practice address
3959 Broadway Columbia Universty Department Pediatrics New York NY 10032
Fax: (212) 544-1974
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 151933 New York

Profile Details

NPI number 1164499117
LBN Legal business name Defelice, Amy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Nov 26th, 2013 - about 11 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 1164499117 NPPES
New York MEDICAID 01164694

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