Fox-Ryvicker, Maya L

Fox-Ryvicker, Maya L is an individual health care provider with primary practice located at 14 Technology Dr , East Setauket NY 11733-3472. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fox-Ryvicker, Maya L can be contacted via phone (631) 444-4233.

Contact Information

Primary practice address
14 Technology Dr East Setauket NY 11733-3472
Phone: (631) 444-4233
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008356 New York

Profile Details

NPI number 1497702666
LBN Legal business name Fox-Ryvicker, Maya L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1497702666 NPPES
New York MEDICAID 02499663

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