Dellerba, Peter R

Dellerba, Peter R is an individual health care provider with primary practice located at 1676 Sunset Ave , Utica NY 13502-5416. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Dellerba, Peter R can be contacted via phone (315) 624-8110.

Contact Information

Primary practice address
1676 Sunset Ave Utica NY 13502-5416
Phone: (315) 624-8110
Fax: (315) 624-8115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 300813 New York

Profile Details

NPI number 1457431066
LBN Legal business name Dellerba, Peter R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Apr 26th, 2018 - about 6 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 1457431066 NPPES
New York MEDICAID 01475956

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