Homer, Maria

Homer, Maria is an sole proprietor health care provider with primary practice located at 9429 59Th Ave , Elmhurst NY 11373-5150. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Homer, Maria can be contacted via phone (718) 271-7400.

Contact Information

Primary practice address
9429 59Th Ave Elmhurst NY 11373-5150
Fax: (718) 271-4321
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 135840 New York

Profile Details

NPI number 1760567309
LBN Legal business name Homer, Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Mar 7th, 2023 - about last year

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 1760567309 NPPES
New York Other 1C4455 HEALTHNET PROV ID
New York MEDICAID 00315586 HEALTHNET PROV ID
New York Other P434947 HEALTHNET PROV ID
New York Other 31036732 HEALTHNET PROV ID
New York Other 04894 HEALTHNET PROV ID
New York Other 135840A17 HEALTHNET PROV ID
New York Other 1831X01 HEALTHNET PROV ID
New York Other 0085974 HEALTHNET PROV ID
New York Other 16A361 HEALTHNET PROV ID
New York Other 135840N01 HEALTHNET PROV ID
New York Other 54460N HEALTHNET PROV ID
New York Other 1073280001 &12-01215 HEALTHNET PROV ID
New York Other 135840 HEALTHNET PROV ID

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