Depetrillo, Michael A

Depetrillo, Michael A is an individual health care provider with primary practice located at 1201 Nott St Suite 106, Schenectady NY 12308-2589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Depetrillo, Michael A can be contacted via phone (518) 374-3123.

Contact Information

Primary practice address
1201 Nott St Suite 106 Schenectady NY 12308-2589
Phone: (518) 374-3123
Fax: (518) 374-9711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 127532-1 New York

Profile Details

NPI number 1497755441
LBN Legal business name Depetrillo, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 10th, 2010 - about 15 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 1497755441 NPPES
Other 05104 MVP
Other 040426006657 MVP
Other MD000A2810 MVP
Other 000405064003 MVP
Other 127532-1 MVP
Other 000405064002 MVP
MEDICAID 00392847 MVP
Other 00A28 MVP
Other 110160500 MVP
Other 9599341 MVP
Other CAN1275320 MVP
Other 10000479 MVP
Other CAN1275320 MVP
Other MD000A2820 MVP
Other 000000097790 MVP
Other 33570P MVP
Other D01979 MVP

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