Juvan, Maria

Juvan, Maria is an individual health care provider with primary practice located at 14 Technology Dr , E 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. Juvan, Maria can be contacted via phone (631) 444-4233.

Contact Information

Primary practice address
14 Technology Dr E Setauket NY 11733-3472
Phone: (631) 444-4233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007452 New York

Profile Details

NPI number 1972544260
LBN Legal business name Juvan, Maria
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 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 1972544260 NPPES
New York Other 4F4821 EMPIRE BC.BS
New York MEDICAID 02152427 EMPIRE BC.BS

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