Mailloux, Timothy
Mailloux, Timothy is an individual health care provider with primary practice located at 2380 Rockville Centre Pkwy , Oceanside NY 11572-1621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mailloux, Timothy can be contacted via phone (516) 764-9501.Contact Information
Primary practice address
2380 Rockville Centre Pkwy
Oceanside NY 11572-1621
Phone: (516) 764-9501
Fax: (516) 764-0865
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 140037 | New York |
Profile Details
NPI number | 1215915145 |
---|---|
LBN Legal business name | Mailloux, Timothy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 30th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215915145 | NPPES |
New York | MEDICAID | 00485227 |
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