Profetto, Mark A
Profetto, Mark A is an individual health care provider with primary practice located at 4103 Medical Center Dr , Fayetteville NY 13066-6600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Profetto, Mark A can be contacted via phone (315) 637-7800.Contact Information
Primary practice address
4103 Medical Center Dr
Fayetteville NY 13066-6600
Phone: (315) 637-7800
Fax: (315) 637-7808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 33 335305 | New York |
Profile Details
| NPI number | 1487852851 |
|---|---|
| LBN Legal business name | Profetto, Mark A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2007 |
| Last updated | Dec 2nd, 2011 - about 13 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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