1114009115 NPI number — MR. DAMIEN ANTHONY DECOLLIBUS PA

Table of content: MR. DAMIEN ANTHONY DECOLLIBUS PA (NPI 1114009115)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114009115 NPI number — MR. DAMIEN ANTHONY DECOLLIBUS PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DECOLLIBUS
Provider First Name:
DAMIEN
Provider Middle Name:
ANTHONY
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114009115
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 E 77TH ST
Provider Second Line Business Mailing Address:
DIVISION OF VASCULAR SURGERY
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10075-1850
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-434-4264
Provider Business Mailing Address Fax Number:
212-434-4231

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 E 77TH ST
Provider Second Line Business Practice Location Address:
DIVISION OF VASCULAR SURGERY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10075-1850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-434-4264
Provider Business Practice Location Address Fax Number:
212-434-4231
Provider Enumeration Date:
10/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AS0400X , with the licence number:  010067 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00246075 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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