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
Phone: (212) 304-7250
Fax: (212) 544-1974
Website:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1164499117 | NPPES |
| New York | MEDICAID | 01164694 |
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