Taverna, Vito Frank
Taverna, Vito Frank is an sole proprietor health care provider with primary practice located at 6062 Palmetto St , Ridgewood NY 11385-3241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Taverna, Vito Frank can be contacted via phone (718) 821-4443.Contact Information
Primary practice address
6062 Palmetto St
Ridgewood NY 11385-3241
Phone: (718) 821-4443
Fax: (718) 821-5785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 156618 | New York |
Profile Details
| NPI number | 1912052994 |
|---|---|
| LBN Legal business name | Taverna, Vito Frank |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jan 19th, 2016 - about 8 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 | 1912052994 | NPPES |
| New York | MEDICAID | 00845547 |
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