Difazio, Louis John
Difazio, Louis John is an sole proprietor health care provider with primary practice located at 2371 Arthur Ave , Bronx NY 10458-8113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Difazio, Louis John can be contacted via phone (718) 364-6199.Contact Information
Primary practice address
2371 Arthur Ave
Bronx NY 10458-8113
Phone: (718) 364-6199
Fax: (718) 364-6502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 151941-1 | New York |
Profile Details
| NPI number | 1245231083 |
|---|---|
| LBN Legal business name | Difazio, Louis John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Nov 27th, 2013 - about 13 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 | 1245231083 | NPPES |
| New York | Other | 35D611 | PTAN |
| New York | MEDICAID | 00872546 | PTAN |
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