Koch, Maryalice
Koch, Maryalice is an sole proprietor health care provider with primary practice located at 15 Allegheny Dr E , Farmingville NY 11738-2803. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Koch, Maryalice can be contacted via phone (631) 696-1128.Contact Information
Primary practice address
15 Allegheny Dr E
Farmingville NY 11738-2803
Phone: (631) 696-1128
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 564347-1 | New York |
Profile Details
| NPI number | 1326232422 |
|---|---|
| LBN Legal business name | Koch, Maryalice |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2007 |
| Last updated | Aug 31st, 2007 - about 18 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 | 1326232422 | NPPES |
| New York | MEDICAID | 02656242 |
Popular Providers
-
Berk, Amy G
12 Columbus Ave , Farmingville NY 11738 -
Altaro, Kimberly Melissa
12 Mark Ln , Farmingville NY 11738-1433 -
Tyler, Barbara Anne
6 Sydney Ave , Farmingville NY 11738-1439 -
Parrish, Maryann Elizabeth
40 Columbus Ave , Farmingville NY 11738-1316 -
Randolph, Cathy
100 Granny Rd , Farmingville NY 11738-2879 -
Donnelly, Debra Ann
12 Roberta Ave , Farmingville NY 11738-1457 -
Rousseau-Amy, Yolette
71 Columbus Ave , Farmingville NY 11738-1339 -
Santorello, Elizabeth
6 Coed Ln , Farmingville NY 11738-2202