Mailloux, Lionel U

Mailloux, Lionel U is an sole proprietor health care provider with primary practice located at 50 Seaview Blvd , Port Washington NY 11050-4618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mailloux, Lionel U can be contacted via phone (516) 484-6093.

Contact Information

Primary practice address
50 Seaview Blvd Port Washington NY 11050-4618
Fax: (516) 484-6180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 097879 New York

Profile Details

NPI number 1538130992
LBN Legal business name Mailloux, Lionel U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated Feb 4th, 2010 - about 14 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 1538130992 NPPES
New York MEDICAID 00165802

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