Devincentis, Anthony Francis

Devincentis, Anthony Francis is an sole proprietor health care provider with primary practice located at 5792 Widewaters Pkwy Ste 101 , Syracuse NY 13214-1847. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Devincentis, Anthony Francis can be contacted via phone (315) 422-4412.

Contact Information

Primary practice address
5792 Widewaters Pkwy Ste 101 Syracuse NY 13214-1847
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 247857-1 New York
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 247857 New York

Profile Details

NPI number 1538362058
LBN Legal business name Devincentis, Anthony Francis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2007
Last updated Apr 4th, 2023 - about 2 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 1538362058 NPPES
New York MEDICAID 02986125

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