Deluca, Kevin D

Deluca, Kevin D is an individual health care provider with primary practice located at 600 Roe Ave , Elmira NY 14905-1629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Deluca, Kevin D can be contacted via phone (607) 733-3639.

Contact Information

Primary practice address
600 Roe Ave Elmira NY 14905-1629
Phone: (607) 733-3639
Fax: (607) 733-1292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 209552 New York

Profile Details

NPI number 1669442992
LBN Legal business name Deluca, Kevin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Nov 14th, 2008 - about 18 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 1669442992 NPPES
New York MEDICAID 02157293

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