Colletti, Gasper
Colletti, Gasper is an sole proprietor health care provider with primary practice located at 46 Riverside Dr , Binghamton NY 13905-4511. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Colletti, Gasper can be contacted via phone (607) 772-1766.Contact Information
Primary practice address
46 Riverside Dr
Binghamton NY 13905-4511
Phone: (607) 772-1766
Fax: (607) 772-2091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 006235 | New York |
Profile Details
| NPI number | 1124117536 |
|---|---|
| LBN Legal business name | Colletti, Gasper |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Oct 4th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124117536 | NPPES |
| New York | MEDICAID | 00852295 |
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