Liedke, Maryana

Liedke, Maryana is an individual health care provider with primary practice located at 1010 Route 112 Ste 300 , Port Jefferson Station NY 11776-3386. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Liedke, Maryana can be contacted via phone (631) 364-9119.

Contact Information

Primary practice address
1010 Route 112 Ste 300 Port Jefferson Station NY 11776-3386
Phone: (631) 364-9119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 288433 New York

Profile Details

NPI number 1386987956
LBN Legal business name Liedke, Maryana
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2013
Last updated Dec 9th, 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.

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