Fanucchi, Michael Paul

Fanucchi, Michael Paul is an individual health care provider with primary practice located at 19 Bradhurst Ave Ste 2300N , Hawthorne NY 10532-2140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Fanucchi, Michael Paul can be contacted via phone (914) 909-9018.

Contact Information

Primary practice address
19 Bradhurst Ave Ste 2300N Hawthorne NY 10532-2140
Fax: (914) 493-2416
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 139415 New York

Profile Details

NPI number 1043327620
LBN Legal business name Fanucchi, Michael Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Feb 18th, 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 1043327620 NPPES
New York MEDICAID 02913308

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