Octaviani, Denise
Octaviani, Denise is an sole proprietor health care provider with primary practice located at 1223 N Salina St , Syracuse NY 13208-1519. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Octaviani, Denise can be contacted via phone (315) 703-3263.Contact Information
Primary practice address
1223 N Salina St
Syracuse NY 13208-1519
Phone: (315) 703-3263
Fax: (315) 425-1994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | 197696-1 | New York |
Profile Details
| NPI number | 1841286325 |
|---|---|
| LBN Legal business name | Octaviani, Denise |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Mar 5th, 2008 - about 16 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 | 1841286325 | NPPES |
| New York | MEDICAID | 01604911 |
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