Detraglia, Alicia
Detraglia, Alicia is an individual health care provider with primary practice located at 807 Newell St , Utica NY 13502-5313. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Detraglia, Alicia can be contacted via phone (315) 798-9300.Contact Information
Primary practice address
807 Newell St
Utica NY 13502-5313
Phone: (315) 798-9300
Fax: (315) 793-8320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 228220-1 | New York |
Profile Details
| NPI number | 1376532499 |
|---|---|
| LBN Legal business name | Detraglia, Alicia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Feb 11th, 2013 - about 13 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 | 1376532499 | NPPES |
| New York | MEDICAID | 02428600 |
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