Maesaka, John K

Maesaka, John K is an sole proprietor health care provider with primary practice located at 200 Old Country Rd Suite 135, Mineola NY 11501-4235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Maesaka, John K can be contacted via phone (516) 663-2169.

Contact Information

Primary practice address
200 Old Country Rd Suite 135 Mineola NY 11501-4235
Phone: (516) 663-2169
Fax: (516) 663-2179
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 100559 New York

Profile Details

NPI number 1417911686
LBN Legal business name Maesaka, John K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Mar 7th, 2023 - about last year

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 1417911686 NPPES
New York Other 10491029 CAQH
New York MEDICAID 00928978 CAQH

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