Dispenza, James A

Dispenza, James A is an individual health care provider with primary practice located at 5100 W Taft Rd , Liverpool NY 13088-3807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dispenza, James A can be contacted via phone (315) 452-2829.

Contact Information

Primary practice address
5100 W Taft Rd Liverpool NY 13088-3807
Phone: (315) 452-2829
Fax: (315) 452-2870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 132031 New York

Profile Details

NPI number 1285694687
LBN Legal business name Dispenza, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Nov 15th, 2011 - about 15 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 1285694687 NPPES
New York MEDICAID 00562143

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