Persia, Albert
Persia, Albert is an individual health care provider with primary practice located at 42 Dunham Ave , Jamestown NY 14701-2514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Persia, Albert can be contacted via phone (716) 665-7007.Contact Information
Primary practice address
42 Dunham Ave
Jamestown NY 14701-2514
Phone: (716) 665-7007
Fax: (716) 664-6131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 210053 | New York |
Profile Details
| NPI number | 1154310266 |
|---|---|
| LBN Legal business name | Persia, Albert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Apr 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154310266 | NPPES |
| New York | MEDICAID | 01816999 |
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