Maida, Anthony

Maida, Anthony is an individual health care provider with primary practice located at 10 Fort Salonga Rd Ste 3 , Northport NY 11768-1400. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Maida, Anthony can be contacted via phone (631) 757-5588.

Contact Information

Primary practice address
10 Fort Salonga Rd Ste 3 Northport NY 11768-1400
Phone: (631) 757-5588
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 037788 New York

Profile Details

NPI number 1558548404
LBN Legal business name Maida, Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Nov 30th, 2020 - about 5 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 1558548404 NPPES
New York MEDICAID 02101031

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