Privitera, Andrew P.

Privitera, Andrew P. is an individual health care provider with primary practice located at 595 Erie Ave , North Tonawanda NY 14120-4404. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Privitera, Andrew P. can be contacted via phone (716) 693-3997.

Contact Information

Primary practice address
595 Erie Ave North Tonawanda NY 14120-4404
Fax: (716) 693-2808
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 046561 New York

Profile Details

NPI number 1497968341
LBN Legal business name Privitera, Andrew P.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 17 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 1497968341 NPPES
New York MEDICAID 01773826

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