Lavelanet, Mario

Lavelanet, Mario is an sole proprietor health care provider with primary practice located at 11751 220Th St , Cambria Heights NY 11411-1608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lavelanet, Mario can be contacted via phone (718) 723-4303.

Contact Information

Primary practice address
11751 220Th St Cambria Heights NY 11411-1608
Phone: (718) 723-4303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 190765 New York

Profile Details

NPI number 1972583953
LBN Legal business name Lavelanet, Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Jul 8th, 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 1972583953 NPPES
New York MEDICAID 01616568

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