Prezzano, Kavitha M

Prezzano, Kavitha M is an sole proprietor health care provider with primary practice located at 5008 Brittonfield Pkwy Ste 700 , East Syracuse NY 13057-9249. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Prezzano, Kavitha M can be contacted via phone (315) 472-7504.

Contact Information

Primary practice address
5008 Brittonfield Pkwy Ste 700 East Syracuse NY 13057-9249
Phone: (315) 472-7504
Fax: (315) 634-4677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 302766 New York

Profile Details

NPI number 1265819312
LBN Legal business name Prezzano, Kavitha M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2015
Last updated May 15th, 2020 - about 6 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 1265819312 NPPES
New York Other 302766 NYS LICENSE

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