Devita, Michael Anthony

Devita, Michael Anthony is an sole proprietor health care provider with primary practice located at 506 Lenox Ave Room 14-106, New York NY 10037-1802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Devita, Michael Anthony can be contacted via phone (212) 939-4693.

Contact Information

Primary practice address
506 Lenox Ave Room 14-106 New York NY 10037-1802
Fax: (212) 939-2263
Website:

Health care specialties

Profile Details

NPI number 1588636005
LBN Legal business name Devita, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated Dec 9th, 2014 - about 11 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 1588636005 NPPES
Pennsylvania MEDICAID 0011464580008
Pennsylvania MEDICAID 001146458
Pennsylvania MEDICAID 0075790000
Pennsylvania MEDICAID 0794672

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