Pezzulo, John
Pezzulo, John is an individual health care provider with primary practice located at 315 S Manning Blvd , Albany NY 12208-1707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pezzulo, John can be contacted via phone (518) 525-5064.Contact Information
Primary practice address
315 S Manning Blvd
Albany NY 12208-1707
Phone: (518) 525-5064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 175785 | New York |
Profile Details
| NPI number | 1942261540 |
|---|---|
| LBN Legal business name | Pezzulo, John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Feb 9th, 2023 - about 2 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 | 1942261540 | NPPES |
| New York | MEDICAID | 01405605 |
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