Individual
MICHAEL ANTHONY DEVITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 LENOX AVE, ROOM 14-106, NEW YORK, NY 10037-1802
(212) 939-4693
(212) 939-2263
Mailing address
506 LENOX AVE, ROOM 14-106, NEW YORK, NY 10037-1802
(212) 939-4693
(212) 939-2263
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
049363
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
163396-0
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
163396-0
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD042029E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001146458
—
PA
05
—
0011464580008
—
PA
05
—
0075790000
—
WV
05
—
0794672
—
OH
Enumeration date
02/07/2006
Last updated
12/09/2014
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