Dechavez, Vincent Bruzola

Dechavez, Vincent Bruzola is an sole proprietor health care provider with primary practice located at 242 Mason Ave , Staten Island NY 10305-3408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dechavez, Vincent Bruzola can be contacted via phone (182) 268-7167.

Contact Information

Primary practice address
242 Mason Ave Staten Island NY 10305-3408
Phone: (182) 268-7167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 304191-01 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 304191 New York

Profile Details

NPI number 1518352244
LBN Legal business name Dechavez, Vincent Bruzola
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2015
Last updated Aug 25th, 2023 - about 3 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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