Villacorta, Rodolfo

Villacorta, Rodolfo is an individual health care provider with primary practice located at 1026 Union Rd , West Seneca NY 14224-3449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Villacorta, Rodolfo can be contacted via phone (716) 712-0851.

Contact Information

Primary practice address
1026 Union Rd West Seneca NY 14224-3449
Phone: (716) 712-0851
Fax: (716) 712-0852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 103354 New York

Profile Details

NPI number 1326024779
LBN Legal business name Villacorta, Rodolfo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Apr 30th, 2009 - about 15 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 1326024779 NPPES
New York Other 000504942005 BC/BS
New York Other 0407881 BC/BS
New York Other 398495 BC/BS
New York Other 00010184203 BC/BS
New York MEDICAID 00682462 BC/BS

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