Avaricio, Michael Luz

Avaricio, Michael Luz is an sole proprietor health care provider with primary practice located at 9511 101St Ave , Ozone Park NY 11416-2500. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Avaricio, Michael Luz can be contacted via phone (718) 360-5060.

Contact Information

Primary practice address
9511 101St Ave Ozone Park NY 11416-2500
Fax: (718) 323-1105
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 222928 New York

Profile Details

NPI number 1639275084
LBN Legal business name Avaricio, Michael Luz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated May 16th, 2022 - about 4 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 1639275084 NPPES
New York Other 1639275084 NPI
New York MEDICAID 02769602 NPI

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