Addesa, Albert J

Addesa, Albert J is an individual health care provider with primary practice located at 5532 Broadway St , Lancaster NY 14086-2224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Addesa, Albert J can be contacted via phone (716) 683-5252.

Contact Information

Primary practice address
5532 Broadway St Lancaster NY 14086-2224
Phone: (716) 683-5252
Fax: (716) 683-6885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 144992 New York

Profile Details

NPI number 1609804368
LBN Legal business name Addesa, Albert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1609804368 NPPES
New York MEDICAID 00725315

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