Verleni, Gust P

Verleni, Gust P is an individual health care provider with primary practice located at 890 E Second St , Jamestown NY 14701. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Verleni, Gust P can be contacted via phone (716) 661-1583.

Contact Information

Primary practice address
890 E Second St Jamestown NY 14701
Phone: (716) 661-1583
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 006801 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006801 New York

Profile Details

NPI number 1811988801
LBN Legal business name Verleni, Gust P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jun 17th, 2008 - about 16 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 1811988801 NPPES
New York MEDICAID 02341977

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