Ilnickij, Maryanne R
Ilnickij, Maryanne R is an sole proprietor health care provider with primary practice located at 2 Windfield Ln , Troy NY 12180-9651. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ilnickij, Maryanne R can be contacted via phone (518) 279-4461.Contact Information
Primary practice address
2 Windfield Ln
Troy NY 12180-9651
Phone: (518) 279-4461
Fax: (518) 279-3078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 174485 | New York |
Profile Details
| NPI number | 1609869924 |
|---|---|
| LBN Legal business name | Ilnickij, Maryanne R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Aug 10th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609869924 | NPPES |
| New York | MEDICAID | 01305128 |
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