Iroku-Malize, Tochi

Iroku-Malize, Tochi is an individual health care provider with primary practice located at 48 Brentwood Rd , Bay Shore NY 11706-6924. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Iroku-Malize, Tochi can be contacted via phone (631) 665-7240.

Contact Information

Primary practice address
48 Brentwood Rd Bay Shore NY 11706-6924
Fax: (631) 665-7242
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 225534-1 New York

Profile Details

NPI number 1730284647
LBN Legal business name Iroku-Malize, Tochi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 21st, 2008 - about 16 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 1730284647 NPPES
New York MEDICAID 02315979

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