Devita, Michael Anthony
Devita, Michael Anthony is an sole proprietor health care provider with primary practice located at 506 Lenox Ave Room 14-106, New York NY 10037-1802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Devita, Michael Anthony can be contacted via phone (212) 939-4693.Contact Information
Primary practice address
506 Lenox Ave Room 14-106
New York NY 10037-1802
Phone: (212) 939-4693
Fax: (212) 939-2263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | MD042029E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 163396-0 | New York |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 049363 | Connecticut |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 163396-0 | New York |
Profile Details
| NPI number | 1588636005 |
|---|---|
| LBN Legal business name | Devita, Michael Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Dec 9th, 2014 - about 12 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 | 1588636005 | NPPES |
| Pennsylvania | MEDICAID | 0011464580008 | |
| Pennsylvania | MEDICAID | 001146458 | |
| Pennsylvania | MEDICAID | 0075790000 | |
| Pennsylvania | MEDICAID | 0794672 |
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