Macias, Renan

Macias, Renan is an sole proprietor health care provider with primary practice located at 9427 59Th Ave Unit F6, Elmhurst NY 11373-5150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Macias, Renan can be contacted via phone (718) 592-0449.

Contact Information

Primary practice address
9427 59Th Ave Unit F6 Elmhurst NY 11373-5150
Fax: (718) 313-0442
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 123163 New York

Profile Details

NPI number 1407801475
LBN Legal business name Macias, Renan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Sep 20th, 2013 - about 11 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 1407801475 NPPES
New York MEDICAID 00231503

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