Fulgencio-Delmonte, Jose A

Fulgencio-Delmonte, Jose A is an sole proprietor health care provider with primary practice located at 9320 Roosevelt Ave # 2E, Jackson Heights NY 11372-7911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fulgencio-Delmonte, Jose A can be contacted via phone (718) 404-9162.

Contact Information

Primary practice address
9320 Roosevelt Ave # 2E Jackson Heights NY 11372-7911
Phone: (718) 404-9162
Fax: (718) 404-9705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 203635 New York

Profile Details

NPI number 1134109382
LBN Legal business name Fulgencio-Delmonte, Jose A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2006
Last updated Feb 27th, 2017 - about 9 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 1134109382 NPPES
New York MEDICAID 01664373

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