Giraldo, Nelson Rafael

Giraldo, Nelson Rafael is an sole proprietor health care provider with primary practice located at 10 Brentwood Rd , Bay Shore NY 11706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Giraldo, Nelson Rafael can be contacted via phone (631) 665-8007.

Contact Information

Primary practice address
10 Brentwood Rd Bay Shore NY 11706
Phone: (631) 665-8007
Fax: (631) 665-8914
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 175993 New York

Profile Details

NPI number 1902996093
LBN Legal business name Giraldo, Nelson Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated May 23rd, 2019 - about 6 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 1902996093 NPPES
New York Other 0025185 AETNA
New York Other 1180 AETNA
New York Other 0488131 AETNA
New York MEDICAID 142428 AETNA
New York Other 3C9490 AETNA
New York Other 9657827 AETNA
New York Other P431628 AETNA
New York Other 02F671 AETNA
New York Other 803853 AETNA
New York MEDICAID 01105673 AETNA

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