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Individual
MICHAEL DEVITO
Active
Individual
MICHAEL DEVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
177478
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000406181004
BLUE SHIELD
NY
05
—
01133971
—
NM
01
—
04146
MVP
NY
01
—
0600005
GHI
NY
01
—
10000486
CDPHP
NY
01
—
11208
GHI HMO
NY
01
—
27F0810
BLUE CROSS
NY
01
—
4594621
AETNA
NY
Enumeration date
12/19/2005
Last updated
02/28/2008
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