Viccellio, Asa
Viccellio, Asa is an individual health care provider with primary practice located at University Hospital, L4 , Stony Brook NY 11794-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Viccellio, Asa can be contacted via phone (631) 444-2499.Contact Information
Primary practice address
University Hospital, L4
Stony Brook NY 11794-0001
Phone: (631) 444-2499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 137862 | New York |
Profile Details
| NPI number | 1659316750 |
|---|---|
| LBN Legal business name | Viccellio, Asa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659316750 | NPPES |
| New York | Other | 4300208 | AETNA |
| New York | MEDICAID | 00744490 | AETNA |
| New York | Other | 06F45 | AETNA |
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