Abenavoli, Tancredi Joseph

Abenavoli, Tancredi Joseph is an sole proprietor health care provider with primary practice located at 446 Westchester Ave , Port Chester NY 10573-2805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Abenavoli, Tancredi Joseph can be contacted via phone (914) 939-1573.

Contact Information

Primary practice address
446 Westchester Ave Port Chester NY 10573-2805
Phone: (914) 939-1573
Fax: (914) 939-2696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 130986 New York

Profile Details

NPI number 1174528723
LBN Legal business name Abenavoli, Tancredi Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2005
Last updated Dec 15th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174528723 NPPES
New York MEDICAID 00585039

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