Ibelli, Vincent M
Ibelli, Vincent M is an individual health care provider with primary practice located at 97 Route 303 , Tappan NY 10983-2514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ibelli, Vincent M can be contacted via phone (845) 359-5005.Contact Information
Primary practice address
97 Route 303
Tappan NY 10983-2514
Phone: (845) 359-5005
Fax: (845) 359-2281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 167148-1 | New York |
Profile Details
| NPI number | 1033119599 |
|---|---|
| LBN Legal business name | Ibelli, Vincent M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Feb 10th, 2015 - about 9 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 | 1033119599 | NPPES |
| New York | MEDICAID | 01026815 |
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