Divincenzo, Leslie

Divincenzo, Leslie is an individual health care provider with primary practice located at 301 S 8Th St Ste 2I , Philadelphia PA 19106-4017. She recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as her primary health care specialty. Divincenzo, Leslie can be contacted via phone (267) 322-7700.

Contact Information

Primary practice address
301 S 8Th St Ste 2I Philadelphia PA 19106-4017
Phone: (267) 322-7700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN627152 Pennsylvania

Profile Details

NPI number 1669050753
LBN Legal business name Divincenzo, Leslie
Credentials DNP-NA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2021
Last updated Mar 30th, 2021 - about 3 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 1669050753 NPPES
Pennsylvania MEDICAID 7504840062

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