Villapiano, Nicole Lynn Gergen

Villapiano, Nicole Lynn Gergen is an sole proprietor health care provider with primary practice located at 4038 West Rd , Cortland NY 13045-1842. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Villapiano, Nicole Lynn Gergen can be contacted via phone (607) 758-3008.

Contact Information

Primary practice address
4038 West Rd Cortland NY 13045-1842
Fax: (607) 758-9515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301107537 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301107537 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X LP02344 Rhode Island
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X LP02344 Rhode Island

Profile Details

NPI number 1598059586
LBN Legal business name Villapiano, Nicole Lynn Gergen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2011
Last updated Nov 27th, 2018 - about 6 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 1598059586 NPPES
New York MEDICAID 04807916

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