Leavens-Maurer, Jill Ann
Leavens-Maurer, Jill Ann is an individual health care provider with primary practice located at 222 Station Plz N Suite 611, Mineola NY 11501-3808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Leavens-Maurer, Jill Ann can be contacted via phone (516) 663-2532.Contact Information
Primary practice address
222 Station Plz N Suite 611
Mineola NY 11501-3808
Phone: (516) 663-2532
Fax: (516) 663-2233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 166186 | New York |
Profile Details
| NPI number | 1821012865 |
|---|---|
| LBN Legal business name | Leavens-Maurer, Jill Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Feb 5th, 2021 - about 3 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 | 1821012865 | NPPES |
| New York | MEDICAID | 01366178 |
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