Malfetano, John H

Malfetano, John H is an sole proprietor health care provider with primary practice located at 24 Computer Dr W Ste 100, Albany NY 12205-1612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Malfetano, John H can be contacted via phone (518) 689-7548.

Contact Information

Primary practice address
24 Computer Dr W Ste 100 Albany NY 12205-1612
Phone: (518) 689-7548
Fax: (518) 489-7548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 154115 New York

Profile Details

NPI number 1861420911
LBN Legal business name Malfetano, John H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2006
Last updated Dec 14th, 2016 - about 8 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 1861420911 NPPES
New York MEDICAID 00775333
New York Other 10005938
New York Other 141811164
New York Other 69150
New York Other 110038

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