Malavet, Angel Luis

Malavet, Angel Luis is an individual health care provider with primary practice located at 130 Center Way , Corning NY 14830-2255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Malavet, Angel Luis can be contacted via phone (607) 936-9971.

Contact Information

Primary practice address
130 Center Way Corning NY 14830-2255
Phone: (607) 936-9971
Fax: (607) 936-2600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200024-1 New York

Profile Details

NPI number 1225009095
LBN Legal business name Malavet, Angel Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 5th, 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 1225009095 NPPES
New York Other CC8362 RR MEDICARE GROUP
New York MEDICAID 01575011 RR MEDICARE GROUP
New York Other 110224589 RR MEDICARE GROUP
New York MEDICAID 0015359930001 RR MEDICARE GROUP

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