Veeder-Civitello, Mary Elizabeth

Veeder-Civitello, Mary Elizabeth is an individual health care provider with primary practice located at 600 E Genesee St Suite 323, Syracuse NY 13202-3130. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Veeder-Civitello, Mary Elizabeth can be contacted via phone (315) 476-1645.

Contact Information

Primary practice address
600 E Genesee St Suite 323 Syracuse NY 13202-3130
Phone: (315) 476-1645
Fax: (315) 476-5640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 144217-1 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 144217 New York

Profile Details

NPI number 1700856820
LBN Legal business name Veeder-Civitello, Mary Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Oct 3rd, 2008 - about 18 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 1700856820 NPPES
New York MEDICAID 00904123

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