Delellis, Carol Ann

Delellis, Carol Ann is an individual health care provider with primary practice located at 5305 Abbott Rd , Hamburg NY 14075-1625. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Delellis, Carol Ann can be contacted via phone (716) 646-6381.

Contact Information

Primary practice address
5305 Abbott Rd Hamburg NY 14075-1625
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 006047 New York

Profile Details

NPI number 1467729913
LBN Legal business name Delellis, Carol Ann
Credentials C.O.T.O.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2011
Last updated Nov 29th, 2011 - about 14 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 1467729913 NPPES
New York MEDICAID 166001780

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