Deluca, Philip V

Deluca, Philip V is an sole proprietor health care provider with primary practice located at 480 Forest Ave Ste 100 , Locust Valley NY 11560-2151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deluca, Philip V can be contacted via phone (516) 671-9800.

Contact Information

Primary practice address
480 Forest Ave Ste 100 Locust Valley NY 11560-2151
Phone: (516) 671-9800
Fax: (516) 671-9283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 205461 New York

Profile Details

NPI number 1508964008
LBN Legal business name Deluca, Philip V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jun 12th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508964008 NPPES
New York MEDICAID 02134623

Popular Providers