Dellefave, Maureen

Dellefave, Maureen is an sole proprietor health care provider with primary practice located at 17 Lansing St Ste 1158 , Auburn NY 13021-1983. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dellefave, Maureen can be contacted via phone (315) 255-7246.

Contact Information

Primary practice address
17 Lansing St Ste 1158 Auburn NY 13021-1983
Fax: (315) 255-7448
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F339728-1 New York

Profile Details

NPI number 1720464480
LBN Legal business name Dellefave, Maureen
Credentials RN, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2015
Last updated Aug 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720464480 NPPES
New York MEDICAID 04949991

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